天津护理

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肿瘤护理敏感质量指标的构建

 

孙荣   董凤齐    冯莉霞    田畅    陈静    强万敏
  

  1.  
    (天津医科大学肿瘤医院 国家肿瘤临床医学研究中心 天津市“肿瘤防治”重点实验室 天津市恶性肿瘤临床医学研究中心,天津 300060)
  • 修回日期:2018-06-21 出版日期:2019-02-28 发布日期:2019-05-06

 
Construction of sensitive indicator for oncologic nursing management

 

SUN Rong, DONG Fengqi, FENG Lixia, TIAN Chang, CHEN Jing, QIANG Wanmin
  

  1.  
    (Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060)
  • Revised:2018-06-21 Online:2019-02-28 Published:2019-05-06

摘要: 目的:构建适用于肿瘤专科的护理敏感质量指标,为肿瘤护理质量监测及管理提供标准的、可量化的客观依据。方法:在文献回顾的前提下,借鉴国内外护理敏感质量指标构建方法,运用专家会议法、德尔菲专家两轮函询确定指标的关键内容和科学测量方法。结果:初步构建了三项肿瘤专科护理敏感质量指标:化疗住院患者跌倒发生率、化疗药物外渗发生率及疼痛评估正确率。专家权威系数大于0.80,各指标变异系数小于0.3,结果可信。结论:肿瘤护理敏感质量指标是一套与肿瘤护理实践密切相关的、质量评价特异性高的、注重患者结局的护理质量评价指标,有利于肿瘤护理质量的管理和持续改进。

关键词: 肿瘤护理, 质量指标, 护理质量

Abstract:  Objective: To construct sensitive indicators in order to provide standard, quantitative, objective basis for quality monitoring in oncology nursing. Methods: Based on literature review and reference of the foreign research method, the key content of sensitive indicators and scientific measurement methods were determined by expert meeting and two rounds of expert consultation with Delphi method. Results: 3 sensitive indicators, including the incidence of falls in inpatients undergoing chemotherapy, the incidence of extravasation of chemotherapeutic drugs, and the accuracy of pain assessment were preliminarily constructed. The expert authority coefficients were greater than 0.80 and the variation coefficients of each index were less than 0.3. The results were reliable. Conclusion: The sensitive indicators of were closely relative to oncologic nursing practice, focusing on the outcome of patients and with high specificity of quality evaluation, which were needed to facilitate management and sustainable development of oncologic nursing quality.

Key words: Oncologic nursing;Quality indicators, Quality of care