成人肝移植术后护理质量评价指标体系的构建
Construction of a Nursing Quality Evaluation Indicator System for Adults after Liver Transplantation
DOI: 10.12677/ACM.2022.123276, PDF,    科研立项经费支持
作者: 张丙良：青岛大学附属医院肝脏移植科，山东 青岛；李春艳：青岛大学附属医院急诊门诊，山东 青岛；孙文娟：青岛大学附属医院肝脏外科，山东 青岛；王静远：青岛大学附属医院呼吸内科，山东 青岛；魏丽丽*：青岛大学附属医院护理部，山东 青岛
关键词: 肝移植；护理质量；评价指标；德尔菲法；Liver Transplantation； Nursing Quality； Evaluation Indicators； Delphi Method
摘要: 目的：构建成人肝移植术后护理质量评价指标体系，为评价成人肝移植术后护理质量提供科学依据。方法：基于“结构–过程–结果”理论模型，通过文献分析、半结构式访谈、Delphi法及层次分析法确定成人肝移植术后护理质量指标体系及指标权重。结果：两轮问卷回收率分别为95.24%、100%，权威系数分别为0.853，0.879，协调系数分别为0.108、0.184，差异具有统计学意义(P < 0.01)。最终形成的指标体系包含3个一级指标、9个二级指标、46个三级指标。结论：本研究构建的成人肝移植术后护理质量评价指标体系的具有较好的科学性和可靠性，可作为评价成人肝移植术后护理质量的工具。
Abstract: Objective: To construct a nursing quality evaluation indicator system for adults after liver transplantation, in order to provide a basis for quality evaluation of adults after liver transplantation. Methods: Based on the theory of Donabedian’s structure-process-outcome quality model, literature analysis, semi-structured interview, Delphi method and AHP method were adopted to determine the nursing quality evaluation indicator system and indicators’ weight in adults after liver transplantation. Results: After two rounds expert advisory, the effective response rates were 95.24%, 100%; Cr coefficients were 0.853, 0.879; W coefficients were 0.108, 0.184, and the difference was statistically significant (P < 0.01). The finally constructed nursing quality evaluation indicator system for adults after liver transplantation included 3 first-level indicators, 9 second-level indicators, and 46 third-level indicators. Conclusion: The constructed quality evaluation index system is scientific and reliable, and it can be used for adults after liver transplantation quality management.
文章引用：张丙良, 李春艳, 孙文娟, 王静远, 魏丽丽. 成人肝移植术后护理质量评价指标体系的构建[J]. 临床医学进展, 2022, 12(3): 1916-1924. https://doi.org/10.12677/ACM.2022.123276

参考文献

[1] Román, E., Torrades, M.T., Nadal, M.J., et al. (2014) Randomized Pilot Study: Effects of an Exercise Programme and Leucine Supplementation in Patients with Cirrhosis. Digestive Diseases & Sciences, 59, 1966-1975. [Google Scholar] [CrossRef] [PubMed]
[2] Brustia, R., et al. (2018) Physical Exercise in Cirrhotic Patients: Towards Prehabilitation on Waiting List for Liver Transplantation. A Systematic Review and Meta-Analysis. Clinics and Research in Hepatology and Gastroenterology, 42, 205-215. [Google Scholar] [CrossRef] [PubMed]
[3] Azevedo, L.D., Stucchi, R.S. and Ataíde, E.C. (2013) Assessment of Causes of Early Death after Twenty Years of Liver Transplantation. Transplantation Proceedings, 45, 1116-1118. [Google Scholar] [CrossRef] [PubMed]
[4] 张华芳, 黄丽华. 护理质量敏感性指标的研究进展[J]. 中华护理杂志, 2014, 49(8): 991-993.
[5] Donabedian, A. (1992) Quality Assurance, Structure, Process and Outcome. Nursing Standard, 7, 4-5.
[6] 王智慧, 何玉婷, 杨翰. 肝移植围手术期血管并发症诊治专家共识(2021版) [J]. 临床肝胆病杂志, 2021, 37(9): 2054-2057.
[7] 易慧敏, 刘剑戎, 陆平兰, 等. 成人慢加急性肝衰竭肝移植围手术期管理专家共识[J]. 器官移植, 2020, 11(5): 533-542.
[8] 中国肝移植围手术期加速康复管理专家共识(2018版) [J]. 中华普通外科杂志, 2018, 33(3): 268-272.
[9] Higgins, J.P. and Green, S. (2011) Cochrane Handbook for Systematic Reviews of Interventions Version 5.1. http://www.Cochrane-handbook.org
[10] 李玉玲, 许柳琴, 罗汉媚, 等. 神经外科围手术期护理安全敏感指标体系的构建研究[J]. 护理实践与研究, 2017, 14(21): 129-132.
[11] 王洪梅. 康复专科护士核心能力评价指标体系的构建[D]: [硕士学位论文]. 青岛: 青岛大学, 2019.
[12] 王洪梅, 黄霞, 张艳, 等. 心脏康复护理质量评价指标体系的构建[J]. 中华护理杂志, 2018, 53(11): 1323-1327.
[13] 李素云, 王培红, 喻姣花, 柯卉, 王慧文, 陈婷. 脊柱骨科护理质量评价指标体系的构建[J]. 护理学杂志, 2018, 33(23): 57-59.
[14] 杨洪菊, 杨晓雯, 杨朝霞, 等. 肿瘤患者临终关怀护理质量评价指标体系的构建[J]. 中华护理杂志, 2018, 53(12): 81-85.
[15] Donabcdian, A. (2005) Evaluating the Quality of Medical Care. Milbank Q, 83, 691-729. [Google Scholar] [CrossRef] [PubMed]
[16] 郑彩霞, 冯志仙. 肝移植围手术期护理质量敏感性指标的构建[J]. 中国实用护理杂志, 2018, 34(27): 2120-2126.
[17] 吴焰, 何晓芳, 游莉. 心血管内科专科护理安全质量评价指标体系的初步构建[J]. 现代临床护理, 2017, 16(6): 65-71.
[18] 崔金锐, 陈英, 徐蓉, 徐素琴. 呼吸内科护理敏感性质量指标体系的构建[J]. 中华护理杂志, 2016, 51(11): 1285-1291.
[19] 沈燕, 陈兰, 费凯红, 潘恒德, 等. 肝移植术后患者早期活动最佳证据总结[J]. 护理学报, 2021, 28(16): 16-21.
[20] 俞静娴, 张玉侠, 陈潇, 等. 肝移植术后患者不同时期运动方案的构建[J]. 中国护理管理, 2021, 21(8): 1147-1152.
[21] 雷雪雪, 于颖, 王春丽, 金云玉. 肝移植患者围术期健康教育需求调查及影响因素分析[J]. 中华现代护理杂志, 2018, 24(14): 1673-1676.
[22] 庄莉, 刘相艳. 肝移植受者围手术期管理及并发症预防与治疗[J]. 中华消化外科杂志, 2021, 20(10): 1037-1041.

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