Abstract:

Objective　To construct a sensitive indicator system for the quality of nursing care in internal medicine treatment for liver failure. Methods　The researchers reviewed the literatures in March 2022. By combining evidence-based literatures with expert interviews, and based on the structure-process-outcome model, a preliminary construction of nursing quality sensitive indicators of internal medicine treatment for liver failure was carried out. Two rounds of expert inquiries using the Delphi method were conducted; the indicators were revised and evaluated based on the experts' opinions; the best quality evaluation index system was constructed. The SPSS 26.0 software was used for the statistical analysis. The experts' general data were statistically described by frequency, proportion, and (). The experts' positive coefficient was expressed by the questionnaire recover rate. The experts' authority coefficient and degree were expressed as authority coefficient. The importance degree was weighed by importance scoring. Results　The response rates for expert consultations were all 100%, with the expert authority coefficients for the first round being 0.958 and the second round 0.943, both over 0.700. The Kendall coordination coefficient ranged from 0.089 to 0.237 (P<0.05). Finally, the sensitive indicators for the quality of nursing in internal medicine treatment for liver failure were constructed, including 3 primary indicators, 13 secondary indicators, and 29 tertiary indicators. Conclusion　The sensitive indicators for the quality of nursing in internal medicine treatment for liver failure constructed in this study have good reliability, scientificity, and a certain degree of specialized sensitivity, which can provide certain basis for the evaluation of the quality of medical treatment and nursing for liver failure.

Key words:

Liver failure, Internal medicine treatment, Nursing quality, Sensitive indicators, Construction

摘要：

目的　构建肝衰竭内科治疗护理质量敏感指标体系。方法　研究者于2022年3月通过文献回顾（检索JBI、PubMed、EBSCO、中国知网和万方数据库，检索时限为建库至2020年12月30日。）结合专家访谈，根据结构-过程-结果模式，初步构建肝衰竭内科治疗护理质量敏感指标。再通过德尔菲法进行两轮专家函询，根据专家意见进行修订及评价，构建最佳质量评价指标体系。采用SPSS 26.0软件进行统计分析，采用频数、构成比、均数标准差（）对专家一般资料进行统计描述，专家的积极系数通过函询问卷的回收率来表示，专家权威系数和权威程度由专家咨询的权威系数表示，通过重要性赋分来衡量各指标的重要程度。结果　专家咨询的应答率均为100%，第1轮专家权威系数为0.958，第2轮专家权威系数为0.943，均大于0.700；肯德尔协调系数为0.089～0.237（P<0.05）。最终构建了肝衰竭内科治疗护理质量敏感指标，包括3项一级指标、13项二级指标和29项三级指标。结论　本研究构建的肝衰竭内科治疗护理质量敏感指标有较好的可靠性、科学性及一定的专科敏感度，能够为肝衰竭内科治疗护理质量的评估提供一定依据。

关键词:

肝衰竭, 内科治疗, 护理质量, 敏感指标, 构建