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永久性肠造口患者护理敏感性结局指标体系的构建

王斌 黄霞 王淑云 杨富国 姜文彬 沈霞 王辉 王静远 尤微 郑学风 张学长 王洪梅   

  1. 青岛大学护理学院,266021 山东省(王斌,杨富国,王辉,尤微,张学长,王洪梅);青岛大学附属医院护理部(黄霞,姜文彬);胃肠外科(王淑云);急诊科(沈霞);血液透析科(王静远);普外科(郑学风)
  • 出版日期:2017-08-25 发布日期:2017-08-25
  • 基金资助:
    国家自然科学基金面上项目(81373001)

Development of nursing outcome-based sensitive indicators of permanent colostomy patients

  • Online:2017-08-25 Published:2017-08-25

摘要: 目的:以奥马哈问题分类系统为研究框架,护理结局分类系统为理论基础,构建永久性肠造口患者的护理敏感性结局指标体系。方法:采用德尔菲(Delphi)法对27名资深专家完成3轮有效函询,获得专家一致性意见,确立永久性肠造口患者护理敏感性结局指标。结果:3轮函询问卷有效回收率分别为96.6%、100.0%、96.4%,专家权威系数分别为0.895、0.899、0.909,一、二、三级指标协调系数分别为0.340、0.379、0.402,具有统计学意义(P<0.01),最终构建的永久性肠造口患者护理敏感性结局指标体系包含4个领域、10个一级指标、21个二级指标,69个三级指标,各级指标选择意见逐步趋同。结论:建立的永久性肠造口患者护理敏感性结局指标体系可为护理人员构建有针对性的延续护理模式提供理论依据。

Abstract: Objective: To develop sensitive indicators of nursing outcome for permanent colostomy patients with Omaha system and nursing outcomes classification system. Methods: Totally 27 experts were investigated using three rounds of Delphi consultation methods to get the common opinion of experts and develop sensitive indicators of nursing outcome for patient with permanent colostomy. Results: After three rounds expert consultation, the effective response rates were 96.6%, 100.0%, 96.4%, respectively, and the authorities coefficient were 0.895, 0.899, 0.909, respectively. The coordination coefficient of primary, secondary, and third indicators were 0.340, 0.379, 0.402, respectively, with P values all less than 0.01. The sensitive indicators of nursing outcome for permanent colostomy patients consisted of 4 domains, 10 first-1evel indicators, 21 second-level indicators, and 69 third-1evel indicators. Conclusion: The development of nursing outcome-based sensitive indicators could provide basis for targeted transitional nursing mode for permanent colostomy patients.