呼吸危重症患者高流量湿化氧疗护理质量评价体系的构建
Construction of Nursing Quality Evaluation System for High-Flow Humidified Oxygen Therapy in Critically Ill Patients with Respiratory Disease
DOI: 10.12677/ns.2026.156190, PDF,    科研立项经费支持
作者: 吴玉婷, 王建宁*, 金宇欣, 万道谋, 赵雪晴, 宋晓春, 杨宏慧：南昌大学第一附属医院呼吸与危重症医学科，江西 南昌；赵 恒：南昌医学院检验医学院，江西 南昌
关键词: 呼吸危重症患者；高流量湿化氧疗；护理质量；评价指标；Respiratory Critically Ill Patients； High Flow Humidified Oxygen Therapy； Quality of Care； Evaluation Index
摘要: 目的：构建呼吸危重症患者高流量湿化氧疗护理质量评价体系，为临床护理质量监测及管理提供参考依据。方法：在循证方法学的指导下，结合文献分析和半结构式访谈结果初步制定评价指标，通过专家函询、层次分析法确定呼吸危重症患者高流量湿化氧疗护理质量评价指标内容及各指标权重。结果：2轮专家函询问卷回收率分别为100%和93.76%，意见提出率为68.75%和43.75%；专家权威系数为0.95和0.97；2轮函询的二级指标和三级指标肯德尔和谐系数为0.142~0.269。最终构建评价体系包括3项一级指标，11项二级指标和50项三级指标。结论：本研究构建的呼吸危重症患者高流量湿化氧疗护理质量评价体系科学可靠、内容覆盖全面、实用性强，可为评估呼吸危重症患者高流量湿化氧疗护理质量提供依据。
Abstract: Objective: To construct a nursing quality evaluation system for high-flow humidified oxygen therapy in critically ill patients with respiratory diseases, and to provide reference for clinical nursing quality monitoring and management. Methods: Based on evidence-based methodology, combined with literature analysis and semi-structured interview results, the evaluation indicators were preliminarily formulated. The content and weight of nursing quality evaluation indicators for high-flow humidified oxygen therapy in critically ill patients with respiratory diseases were determined by expert consultation and analytic hierarchy process. Results: The recovery rates of the two rounds of expert consultation questionnaires were 100% and 93.76%, and the rates of opinions were 68.75% and 43.75%; the expert authority coefficients were 0.95 and 0.97; the Kendall harmony coefficients of the second-level indicators and the third-level indicators of the two rounds of consultation were 0.142~0.269. The finalized evaluation system included 3 first-level indicators, 11 second-level indicators and 50 third-level indicators. Conclusion: The nursing quality evaluation system of high-flow humidified oxygen therapy for critically ill patients with respiratory diseases is scientific and reliable, with comprehensive content coverage and strong practicability, which can provide a basis for evaluating the nursing quality of high-flow humidified oxygen therapy for critically ill patients with respiratory diseases.
文章引用：吴玉婷, 王建宁, 金宇欣, 万道谋, 赵雪晴, 赵恒, 宋晓春, 杨宏慧. 呼吸危重症患者高流量湿化氧疗护理质量评价体系的构建[J]. 护理学, 2026, 15(6): 154-166. https://doi.org/10.12677/ns.2026.156190

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