基于Donabedian模型的骨科压力损伤护理质量评估指标系统的开发:Delphi研究
Liqiong Zhou1, Yinfeng Hu2, Pingping Shuai3
1Department of Rheumatology and Immunology, South China Hospital, Medical School, Shenzhen University, Shenzhen, 518116, China. zhouliqiong_1988@163.com.
BMC nursing
|September 27, 2025
概括
这项研究开发了一种可靠的护理质量评估系统,用于使用德尔菲方法对有压力损伤的骨科患者进行护理. 该框架包括改善患者护理的结构,过程和结果指标.
科学领域:
- 护理质量评估 护理质量评估
- 整形外科护理 整形外科护理
- 压力损伤管理 压力损伤管理
背景情况:
- 压力损伤是骨科患者护理的一个重要问题.
- 需要标准化的评估工具来评估和提高这一群体的护理质量.
研究的目的:
- 开发和验证一个科学和可靠的护理质量评估指标系统,用于有压力损伤的骨科患者.
- 建立一个基于Donabedian模型的框架来评估护理质量.
主要方法:
- 采用了德尔菲方法,涉及文献评论和半结构面试.
- 与25名国际专家进行了两轮调查.
- 分析层次过程确定了指标权重,通过特定的评分和协议值来定义共识.
主要成果:
- 建立了一个最终评估指数系统,包括3个第一级 (结构,过程,结果),9个第二级和26个第三级指标.
- 专家咨询实现了100%的有效响应率,具有高权威系数 (0.890-0.934).
- 专家们达成了显著的共识 (肯德尔的W>0.1,P<0.05).
结论:
- 开发的护理质量评估指数系统在科学上是有效的,并且在骨科压力损伤管理中临床上适用.
- 该系统为评估和改善这一患者群体的护理质量提供了标准化的参考.
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