基于结构-过程-结果模型的护理敏感质量指标系统的构建,用于进行皮肤冠状动脉干预的患者的心脏康复,基于结构-过程-结果模型
Lei Kang1, Min-Hui Wang1, Sheng-Jia Wu2
1Cardiovascular Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
BMC nursing
|December 4, 2023
概括
开发了一个新的指标系统,以评估皮肤冠状动脉干预 (PCI) 后心脏康复 (CR) 的护理敏感质量. 该系统提供了一个可靠的框架来评估CR质量并改善患者的治疗结果.
科学领域:
- 心血管护理心血管护理
- 提高质量 提高科学 提高质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 冠心病 (CHD) 需要通过皮肤冠心干预 (PCI) 等有效的治疗方法.
- 心脏康复 (CR) 在PCI后至关重要,但缺乏全面的质量评估系统.
- 目前的CR质量评估侧重于结果,忽视了对护理管理的平衡方法.
研究的目的:
- 在PCI之后,构建一个科学,敏感,全面和实用的指标系统,用于PCI后CR的护理敏感质量.
- 建立一个可靠的框架来评估CR计划中的护理护理质量.
- 为改善CR质量和PCI后的患者护理提供参考.
主要方法:
- 文献分析和半结构面试,以确定潜在的指标.
- 发展指标系统框架和初步草案.
- 应用Delphi方法和分析层次过程 (AHP) 进行精细化和加权.
主要成果:
- 两轮专家咨询取得了100%的响应率,具有高度权威 (0.865-0.888) 和协调 (0.491-0.522).
- 建立的系统包括3个一级指标 (结构,过程,结果),11个二级指标和29个三级指标.
- 最终的系统被认为是科学,可靠和全面的,用于评估CR后PCI的护理敏感质量.
结论:
- 一个完整和可靠的护理敏感的质量指标系统PCI后CR已经成功开发.
- 该系统提供了一个科学和可靠的工具,用于评估CR的护理服务质量.
- 该指标系统作为评估和提高CR课程临床教学质量的宝贵参考.
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