摘要
目的构建适用于评价ICU连续性肾脏替代治疗（CRRT）护理质量的指标体系。方法通过文献资料调研、质性访谈初步拟定CRRT护理质量评价指标体系，采用Delphi专家咨询及层次分析法确定CRRT护理质量评价指标体系及各指标权重。结果指标体系共包括一级指标8项，二级指标22项，三级指标51项。2轮函询问卷的专家积极系数分别为100．0％、93．3％，权威系数分别为0．84、0．86，第1轮函询一级、二级、三级指标协调系数分别为0．686、0．359、0．196；第2轮函询分别为0．688、0．454、0．273，均有统计学意义（P〈0．01）。结论CRRT护理质量评价体系构建过程科学，内容全面，设置合理，是保障CRRT治疗的顺利实施和患者安全的有效手段。
Objective To develop a nursing quality index system for patients with continuous renal replacement therapy （CRRT） in ICU. Methods Based on evidence-based analysis, semi-structured interview, Delphi method and AHP method were adopted to determine the nursing quality indicator and indicators＇weight in CRRT. Results The index system consisted of 8 first-level indicators, 22 second- level indicators, and 51 third-level indicators. After two rounds expert advisory, the effective response rates were 100.0%, 93.3%; authority coefficients were 0.84, 0.86; coefficients of concordance for first- level, second-level, third-level indicators were 0.686, 0.359, 0.196 at first round, and those were 0.688, 0.454, 0.273 at second round, and P values were all less than 0.01. Conclusion The nursing quality index system are scientific, comprehensive and practical, which can be applied to guarantee the implementation of CRRT treatment and patient safety.
作者
陈韵芳
陈娜
向洋
郝艳华
吕丹
Chen Yunfang;Chen Na;Xiang Yang;Hao Yanhua;Lyu Dan(Intensive Care Unit, Tianjin Third Central Hospital, Tianjin 300170, China)
出处
《中国实用护理杂志》
2018年第20期1586-1592,共7页
Chinese Journal of Practical Nursing
关键词
重症监护病房
连续性.肾脏替代治疗
质量指标
Intensive care units
Continuous renal replacement therapy
Quality indicators
