经皮冠状动脉介入治疗患者延续护理质量评价指标体系的构建

目的 构建一套科学、系统的经皮冠状动脉介入治疗患者延续护理质量的评价指标体系,为护理管理者及临床护理人员客观评价经皮冠状动脉介入治疗患者医院-社区联动延续护理质量提供参考.方法 2019年11月-2020年4月以"结构-过程-结果"三维质量模型为基础,采用文献回顾、半结构式访谈、专家咨询及层次分析法,确定经皮冠状动脉介...

Construction of an evaluation index system for hospital-community linkage continued nursing quality after percutaneous coronary intervention

Objective To build a scientific and systematic evaluation index system of hospital-community continuous nursing quality after percutaneous coronary intervention(PCI)to provide a reference for nursing managers and clinical nurses to objectively evaluate the quality of hospital-community continuous nursing after PCI.Methods This study was conducted from November 2019 to April 2020 based on the three-dimensional quality structure model of“structure-process-result”,using literature review,semi-structured interviews,expert consultations and analytic hierarchy process to determine the content of the hospital-community linkage continuous nursing quality after PCI evaluation index system and the weight of each index.Results The effective recovery rates of the 2 rounds of expert consultations were 95%and 100%respectively;the expert authority coefficients were 0.933 and 0.937 res-pectively;the Kendall harmony coefficients were 0.201 and 0.226 respectively(P<0.001).The final evaluation index system includes 3 first-level indicators,14 second-level indicators and 62 third-level indicators,among which the structural quality includes 4 second-level indicators and 16 third-level indicators;the process quality includes 3 second-level indicators and 18 third-level indicators;the result quality includes 7 second-level indicators and 28 third-level indicators.Conclusion The hospital-community continuous nursing quality evaluation index system constructed after PCI is scientific and reliable,which can provide a basis for continuous nursing quality evaluation and continuous improvement.