放射性核素治疗病房护理质量评价指标体系的构建

摘要/Abstract

摘要： 通过构建放射性核素治疗病房护理质量评价指标,科学评估放射性核素治疗病房患者护理质量。本文以Donabedian的“结构-过程-结果”三维质量评价模型为理论基础,通过文献检索、半结构式访谈、德尔菲法、层次分析法确立放射性核素治疗病房护理质量评价指标体系。在循证护理实践方法的指导下,整合文献检索和半结构式访谈结果构建放射性核素治疗病房护理质量评价指标池,经过两轮专家函询确定指标内容。本研究纳入20名函询专家,两轮专家函询的问卷有效回收率为90%、100%;专家权威系数分别为 0.945 和 0.950;肯德尔和谐系数分别为 0.128 和 0.550(P<0.05)。汇总两轮专家函询后修订结果,删除3项指标,修改7项指标,增加9项指标,最终构建的放射性核素治疗病房护理质量评价指标体系包括一级指标3项,二级指标13项,三级指标58项,所有指标的重要性赋值均数均＞4.00分,变异系数均＜0.33,各项指标具有较高的可靠性。本研究构建的放射性核素治疗病房护理质量评价指标体系对核素治疗病人的护理工作具有指导意义,为放射性核素治疗病房护理工作的质量评价提供了参考。

关键词: 放射性核素, 核素治疗病房, 护理质量, 三维质量模型

Abstract: By establishing an evaluation index of nursing quality in radionuclide wards, in order to scientifically evaluate the nursing quality of patients in radionuclide wards. The evaluation index system of nursing quality in radionuclide treatment wards was established, through literature search, semi-structured interview, Delphi method and analytic hierarchy process based on Donabedian three-dimensional quality evaluation model of structure-process-result. Under the guidance of evidence-based nursing practice, a radionuclide treatment ward and nursing quality evaluation index pool were constructed by integrating the results of literature search and semi-structured interview, and the index contents were determined after two rounds of expert letter consultation. In our research, twenty experts were included. The effective recovery rates of the questionnaire were 90% and 100%. The expert authority coefficients were 0.945 and 0.950, respectively. Kendall concordance coefficients were 0.128 and 0.550 (P<0.05), respectively. The revised results after 2 rounds of expert consultation were summarized, 3 indexes were deleted, 7 indexes were modified, and 9 indexes were added. Finally, the nursing quality evaluation index system of radionuclide treatment ward was established, including 3 first-level indexes, 13 second-level indexes, and 58 third-level indexes. The average value of importance assigned to all indexes was > 4.00, and the coefficient of variation was < 0.33. It shows that each index has high reliability. The evaluation index system of nursing quality in radionuclide wards established in this study has guiding significance for nursing work of patients, and quality evaluation of patients treated with radionuclide, and provides a reference for the quality evaluation of nursing work in radionuclide treatment wards.

Key words: radionuclides, radionuclide treatment ward, nursing quality, three-dimensional quality model

中图分类号:

TL75+2

刘柳, 侯备, 朱亚男, 高燕, 梁应凤, 郭姗姗. 放射性核素治疗病房护理质量评价指标体系的构建[J]. 辐射防护, 2024, 44(5): 554-561.

LIU Liu, HOU Bei, ZHU Yanan, GAO Yan, LIANG Yingfeng, GUO Shanshan. Establishment of nursing quality evaluation index system in radionuclide treatment ward[J]. RADIATION PROTECTION, 2024, 44(5): 554-561.

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