摘要
目的构建一套科学的持续声门下分泌物吸引技术质量评价系统,旨在为临床客观评价该技术的质量提供参考标准.方法以"结构-过程-结果"为理论框架,通过文献研究、专家会议、专家咨询及主成分分析法,由来自5个省(自治区)11个市的23名危重症专家通过2轮专家函询,最终确定了持续声门下分泌物吸引技术质量评价指标及各指标权重.采用SPSS 18.0软件进行数据的统计分析.结果2轮有效问卷的回收率分别为92.0%、87.0%;专家权威系数Cr分别为0.887、0.895;肯德尔意见协调系数分别为0.13、0.09 (P<0.01).最终构建的持续声门下分泌物吸引技术质量评价指标体系包括一级指标3个、二级指标8个、三级指标23个.结论持续声门下分泌物吸引技术质量评价指标构建过程科学,指标条目设置较合理,能够确保该技术的有效落实.
Objective To construct a quality evaluation index system for continuous aspiration of subglottic secretion (CASS), in order to provide references for clinical objective evaluation of the quality of this technology. Methods Based on the theory of "structure-process-outcome" model, through literature review, expert meeting, expert consultation and principal component analysis, the quality evaluation index system and the index weights of all indicators for CASS were finally determined by 23 intensive care unit experts from 5 provinces (autonomous regions) and 11 cities through two rounds of consultation. SPSS 18.0 software was used in statistical analysis. Results The effective responsive rate of the questionnaires in the two rounds were 92.0%, 87.0%;the expert authority coefficients were 0.887, 0.895;Kendall's idea coordination coefficients were 0.13, 0.09 (P<0.01).The final index system consisted of 3 first-level indicators, 8 second-level indicators, and 23 third-level indicators. Conclusions The process of the construction of nursing quality evaluation index system for CASS is scientific, and the contents of index entries are reasonable, which can ensure the effective implementation of the technology.
作者
王荣
王黎梅
刘学英
盛晗
吕慧
邹翼霜
黎梦笋
王凌燕
Wang Rong;Wang Limei;Liu Xueying;Sheng Han;Lyu Hui;Zou Yishuang;Li Mengsun;Wang Lingyan(Department of Anesthesiology, the First Affiliated Hospital of Jiaxing University, Jiaxing 314000, China;Department of Science and Education, the First Affiliated Hospital of Jiaxing University, Jiaxing 314000, China;Nursing Department, the First Affiliated Hospital of Jiaxing University, Jiaxing 314000, China;ICU, the First Affiliated Hospital of Jiaxing University, Jiaxing 314000, China)
出处
《中华现代护理杂志》
2019年第18期2245-2250,共6页
Chinese Journal of Modern Nursing
基金
嘉兴市科技局资助项目(2017BY18004)
浙江省医药卫生科技计划项目(2017ZH004)
浙江省浙北麻醉学区域专病中心建设项目资助(浙卫发(2015)21号).
