医联体县级医院静脉输液治疗专科护理帮扶体系的构建

doi:10.3969/j.issn.1006-9143.2024.04.003

天津护理 ›› 2024, Vol. 32 ›› Issue (4): 389-394.DOI: 10.3969/j.issn.1006-9143.2024.04.003

医联体县级医院静脉输液治疗专科护理帮扶体系的构建

吕守英柴秀平闫春林庄广云刘桂云

（聊城市第二人民医院，山东聊城 252600）

出版日期:2024-08-28 发布日期:2024-08-29

Construction of intravenous infusion therapy specialty nursing support system for county-level hospitals of medical alliance

LYU Shouying, CHAI Xiuping, YAN Chunlin, ZHUANG Guangyun, LIU Guiyun

(The Second People′s Hospital of Liaocheng, Liaocheng Shandong 252600)

Online:2024-08-28 Published:2024-08-29

摘要/Abstract

摘要：

目的：构建医联体县级医院静脉输液治疗专科护理帮扶体系，为医联体县级医院静脉输液治疗专科护理帮扶提供依据。方法：以“结构-过程-结果”三维质量结构理论为理论基础，运用文献回顾、问卷调查、半结构式访谈初步拟定县级医院静脉输液治疗专科护理帮扶体系初稿，采用德尔菲专家咨询法构建医联体县级医院静脉输液治疗专科护理帮扶体系终稿。结果：３轮专家咨询问卷有效回收率分别为91.3%、100.0%、100.0%，专家权威系数均为 0.931，肯德尔协调系数分别为 0.239、0.244、0.312，经 χ² 检验，差异均有统计学意义（P＜0.001）。最终形成的医联体县级医院静脉输液治疗专科护理帮扶体系包括结构、过程、结果 3 项一级指标、11 项二级指标和 54 项三级指标。结论：医联体县级医院静脉输液治疗专科护理帮扶体系具有科学性、可靠性和临床适用性，符合静脉输液治疗专科护理临床实践与护理管理特点，能促进静脉输液治疗专科护理优质资源有效、有序地下沉到县级医院。

关键词: 医联体, 静脉输液治疗, 县级医院, 护理帮扶, 三维质量结构, 德尔菲法

Abstract:

Objective: Establish a specialized nursing support system for intravenous infusion therapy in county-level hospitals of the medical alliance to provide a basis for the specialized nursing assistance of intra-medical hospitals in county-level hospitals of the medical alliance. Methods: Based on the three-dimensional mass structure theory of "structure-process-result", the first draft of the county-level hospitals nursing assistance system for intravenous infusion therapy was preliminarily formulated by using literature review, questionnaire survey and semi-structured interview, and the final draft was constructed by using the Delphi expert consultation method. Results: The effective recovery rate of the three rounds of expert consultation questionnaires was 91.3% , 100% and 100% , respectively. The expert authority coefficient was 0.931, and the Kendall coordination coefficient was 0.239, 0.244 and 0.312, respectively (P<0.001). The final intravenous infusion therapy specialty nursing support system for county-level hospitals of medical alliance includes 3 first-level indicators, 11 second-level indicators and 54 third-level indicators in structure, process and results. Conclusion: The intravenous infusion therapy specialty nursing support system for county-level hospitals of medical alliance has strong scientificity, reliability and clinical applicability, which conforms to the characteristics of intravenous infusion therapy specialty, and can promote the effective and orderly sinking of high-quality resources of intravenous infusion therapy specialty to county-level hospitals.

Key words: Medical treatment combination, Intravenous infusion therapy, County-level hospitals, Care to assist, Three-dimensional quality structure, Delphi method

吕守英柴秀平闫春林庄广云刘桂云. 医联体县级医院静脉输液治疗专科护理帮扶体系的构建[J]. 天津护理, 2024, 32(4): 389-394.

LYU Shouying, CHAI Xiuping, YAN Chunlin, ZHUANG Guangyun, LIU Guiyun. Construction of intravenous infusion therapy specialty nursing support system for county-level hospitals of medical alliance[J]. Tianjin Journal of Nursing, 2024, 32(4): 389-394.

[1]	何嘉李鑫熊莉娟. 耳鼻咽喉头颈外科护理质量敏感指标体系的构建[J]. 天津护理, 2024, 32(3): 259-264.
[2]	褚金萍张华甫赵云呈贾晗冰赵媛 . 基于德尔菲法和层次分析法构建消毒供应中心敏感质量指标体系[J]. 天津护理, 2023, 31(4): 404-410.
[3]	石倩鲁军帅赵静杨会宁张夷赵亚爱 . 脑胶质瘤患者围手术期护理质量评价指标体系的构建[J]. 天津护理, 2023, 31(2): 132-136.
[4]	柳玉林曲华杜金库于丽. 老年性白内障日间手术手术室护理质量指标的构建 [J]. 天津护理, 2023, 31(2): 161-167.
[5]	任海玲焦娜娜赵岳. 育龄期乳腺癌患者生育忧虑支持性心理干预方案的构建研究[J]. 天津护理, 2022, 30(6): 631-636.
[6]	李响, 张庆芬, 吴茜. 肺癌放疗患者跌倒风险评估量表的构建研究[J]. 天津护理, 2021, 29(4): 390-395.
[7]	付士芳, 李荣融, 任凤蛟, 王树苓. 中医推拿科护理人员岗位胜任力评价指标体系构建的研究[J]. 天津护理, 2021, 29(2): 134-137.
[8]	蒋晶红狄红月王燕. 留置针堵管风险评估体系的建立[J]. 天津护理, 2019, 27(4): 389-392.
[9]	郑嘉祺1 柴倩文2 魏力1. 社区老年康复护理核心知识体系的构建*[J]. 天津护理, 2018, 26(6): 672-676.
[10]	张华甫1 王相华1 张燕2 张华2 陈荣秀1. 天津市临床护理操作技术难度评价体系的初步构建[J]. 天津护理, 2018, 26(2): 146-151.
[11]	刘鸿梅郝艳华王晓萍权月田丽. 临床护理单元风险测评问卷的编制 [J]. 天津护理, 2017, 25(3): 193-198.
[12]	张华甫张华张燕陈荣秀. 天津市护理质量评价核心指标体系的初步构建[J]. 天津护理, 2016, 24(6): 485-488.

医联体县级医院静脉输液治疗专科护理帮扶体系的构建

Construction of intravenous infusion therapy specialty nursing support system for county-level hospitals of medical alliance

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 12

编辑推荐

Metrics