天津护理 ›› 2023, Vol. 31 ›› Issue (2): 132-136.DOI: 10.3969/j.issn.1006-9143.2023.02.002

• 论著 • 上一篇    下一篇

脑胶质瘤患者围手术期护理质量评价指标体系的构建

石倩 1 鲁军帅 1 赵静 1 杨会宁 1 张夷 1 赵亚爱 2   

  1. (1.天津医科大学肿瘤医院 国家恶性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 2.天津市人民医院)
  • 出版日期:2023-04-28 发布日期:2023-04-28

Construction of evaluation index system of perioperative nursing quality for patients with brain glioma

SHI Qian1 , LU Junshuai 1 , ZHAO Jing1 , YANG Huining1 , ZHANG Yi 1 , ZHAO Ya’ai 2   

  1. (1.Tianjin Medical University Cancer Institute and Hospital,Tianjin 300060;2. Tianjin People’s Hospital)
  • Online:2023-04-28 Published:2023-04-28
  • Supported by:
    天津市医学重点学科建设项目(TJYXZDXK-011A);天津医科大学肿瘤医院科研项目(TJMUCH-H-2020-06)

摘要: 目的:构建脑胶质瘤患者围手术期护理质量评价指标体系,为脑胶质瘤围手术期护理质量评价与监控提供理论依据。 方法:以 “结构-过程-结果”三维质量模型为理论框架,通过文献分析、半结构式访谈、德尔菲法确定脑胶质瘤患者围手术期护理质量评价指标 体系内容。 结果:两轮专家函询问卷回收率均为 100.0%,第 2 轮专家函询中专家权威系数为 0.878,肯德尔协调系数为 0.331(P< 0.001),专家评定意见均趋于一致,最终构建了包括一级指标 3 项、二级指标 12 项、三级指标 74 项的脑胶质瘤围手术期护理质量 评价指标体系。 结论:构建的脑胶质瘤围手术期护理质量评价指标体系具有科学性、可靠性、针对性及实用性,为临床脑胶质瘤围手 术期护理质量评价提供参考依据。

关键词: 脑胶质瘤, 围手术期, 护理标准, 质量评价指标, 德尔菲法

Abstract: Objective: To construct a perioperative nursing quality index system for patients with brain glioma, and provide a theoretical basis for the evaluation and monitoring of perioperative nursing quality of brain glioma. Methods: The "structure-process-result" three-dimensional quality model was used as the theoretical framework, and the perioperative nursing quality evaluation system for patients with brain glioma was established through literature analysis, semi-structured interviews, and Delphi method. Results: The recovery rate of the two rounds of expert letter consultation was 100.0%. In the second round of expert letter inquiries, the expert authority coefficient was 0.878, and the Kendall harmony coefficients was 0.331 (P<0.001). Expert assessment opinions tended to be consistent. The perioperative nursing quality index system for brain glioma was finally constructed, including 3 first-level indicators, 12 second-level indicators, and 74 third-level indicators. Conclusion: The constructed perioperative nursing quality index system for patients with brain glioma is scientific, reliable, pertinent and practical, and provides a reference for perioperative nursing quality index system for clinical nursing of brain glioma.

Key words: Glioma of brain, Perioperative period, Standards of care, Quality evaluation index, Delphi method