基于Donabedian理论的体外膜氧化护理质量评估指标的开发:Delphi研究
Xiaomei Yu1, Huihuang Zou1, Shuaihong Tong1
1Intensive Care Unit, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, China.
PloS one
|October 17, 2025
概括
开发了一种新的体外膜氧化 (ECMO) 护理护理质量评估系统. 该系统为监测和改善严重呼吸和循环功能衰竭患者的重症监护提供了科学基础.
科学领域:
- 关键护理医学 关键护理医学
- 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:
- 身体外膜氧化 (ECMO) 对于严重的呼吸和循环功能衰竭至关重要.
- 高质量的护理对ECMO患者至关重要,但目前的评估工具有限.
- 需要一个科学和实用的ECMO护理质量评估系统.
研究的目的:
- 开发和完善ECMO护理服务的质量指标.
- 建立一个科学和实际的指数系统来评估ECMO护理质量.
- 为监测和改善中国ECMO护理服务提供客观基础.
主要方法:
- 根据ACCORD的指导方针进行的Delphi研究.
- 文献审查和专家讨论以设计问卷.
- 两轮的德尔菲调查与19个重症监护专家.
- 对指标权重的分析层次过程.
主要成果:
- 100%的问卷恢复率和高专家协议.
- 一套最终的3个初级,9个二级和32个三级ECMO护理质量指标.
- 成功创建一个科学可靠的ECMO护理质量评估系统.
结论:
- 已经建立了一个全面和经过验证的ECMO护理质量评估系统.
- 该系统解决了现有工具的局限性,并提供了客观的评估基础.
- 该系统将有助于持续改善中国ECMO患者的临床护理.
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