在剖腹产后阴道分娩的护理敏感质量指标的构建和评估:基于中国人口的德尔菲研究
Xian Liu1, Ling Liu2, Junshuang Zhang2
1Endoscopy Room, The Affiliated Hospital of Qingdao University, Qingdao, China.
Heliyon
|October 27, 2023
概括
这项研究开发了33个在中国剖腹产后阴道分娩 (VBAC) 的护理敏感质量指标. 这些指标旨在系统地监测和提高VBAC患者的护理质量.
科学领域:
- 产科和妇科 产科和妇科
- 提高护理质量 提高护理质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 剖腹产后的阴道分娩 (VBAC) 是产科的一个关键领域.
- 在VBAC中监测和提高护理质量对于患者安全和结果至关重要.
- 对于VBAC护理现有的质量指标可能缺乏系统的临床适用性.
研究的目的:
- 为VBAC制定科学,系统和临床适用的护理敏感的质量指标.
- 为提高中国VBAC护理质量提供理论和临床基础.
- 在VBAC期间建立一个监测和评估护理护理的框架.
主要方法:
- 使用了经过修改的Delphi共识技术.
- 文献检索 (2012-2022) 和小组讨论为初步指标选择提供了信息.
- 在26家中国医院进行了两轮专家咨询,使用结构过程结果模型来改进这些指标.
主要成果:
- 总共完成了33个护理敏感的质量指标.
- 指标分为三个层次:结构,过程和结果.
- 获得了高专家共识 (95.56%-97.67%) 和权威 (0.88-0.94),变化系数低 (0.05-0.28).
结论:
- 经过修改的Delphi方法成功地产生了科学,系统和临床可操作的VBAC护理质量指标.
- 这些指标对于改善接受VBAC的妇女护理质量至关重要.
- 开发的指标为VBAC护理实践的质量评估和提升提供了一个强大的工具.
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