主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (11): 1732-1736.doi: 10.3969/j.issn.1672-1756.2025.11.024

• 护理质量 • 上一篇    下一篇

麻醉后监护治疗病房护理质量敏感指标的构建与应用

姚婉君 张转运 张偌翠 王晴 孙玉娥 马正良   

  1. 南京大学医学院附属鼓楼医院麻醉手术科,210008 南京市
  • 出版日期:2025-11-15 发布日期:2025-11-15
  • 通讯作者: 张转运,本科,副主任护师,护士长,E-mail:769848417@qq.com
  • 作者简介:姚婉君,本科,主管护师
  • 基金资助:
    南京大学中国医院改革发展研究院课题(NDYGN2023045);南京鼓楼医院护理科研课题(2023-B1270,2024-B649)

Construction and application of sensitive indicators for nursing quality in Anesthesia Intensive Care Unit

YAO Wanjun, ZHANG Zhuanyun, ZHANG Ruocui, WANG Qing, SUN Yu'e, MA Zhengliang   

  1. Department of Anesthesiology and Surgery, Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, 210008, China
  • Online:2025-11-15 Published:2025-11-15
  • Contact: E-mail:769848417@qq.com

摘要: 目的:构建麻醉后监护治疗病房(Anesthesia Intensive Care Unit,AICU)护理质量敏感指标,为AICU护理质量评价提供依据。方法:基于文献回顾、小组讨论建立AICU护理质量初始敏感指标,于2024年8月—9月运用德尔菲法进行2轮专家函询以筛选和校正指标,最终确定AICU护理质量敏感指标。收集南京市某三级甲等医院AICU 2024年10月—12月指标数据,验证资料收集的可操作性。结果:确定了包含结构指标1项、过程指标5项、结果指标3项的AICU护理质量敏感指标。问卷有效回收率均为100%,专家权威系数分别为0.936和0.942,肯德尔协调系数分别为0.212和0.207(P<0.05)。该三级甲等医院9项AICU护理质量控制指标的数据均完整收集。结论:构建的AICU护理质量敏感指标具有一定可靠性,具备AICU护理质量专科特色。

关键词: 麻醉后监护治疗病房;敏感指标;质量控制;护理质量;德尔菲法

Abstract: Objective: To construct sensitive indicators for nursing quality in the Anesthesia Intensive Care Unit (AICU), and to provide a basis for evaluating the nursing quality in the AICU. Methods: Initial sensitive indicators for AICU nursing quality were established through literature review and panel discussions. Two rounds of Delphi expert consultation from August to September 2024 were used to screen and refine the indicators, ultimately determining the final sensitive indicators for AICU nursing quality. Data on hospital indicators for the AICU of a tertiary grade A hospital in Nanjing from October to December 2024 were collected to verify the feasibility of the data collection. Results: The AICU nursing quality sensitive indicators were determined, including 1 structural indicator, 5 process indicators, and 3 outcome indicators. The effective return rate of the questionnaires was 100%, and the authority coefficients were 0.936 and 0.942 respectively. The Kendall’s W coefficients were 0.212 and 0.207 respectively (P<0.05). The numerator and denominator data of all 9 AICU nursing quality sensitive indicators of the tertiary grade A hospital were successfully collected. Conclusion: The constructed AICU nursing quality sensitive indicators demonstrate reasonable reliability and reflect the specialized characteristics of AICU nursing quality.

Key words: Anesthesia Intensive Care Unit; sensitive indicators; quality control; nursing quality; Delphi method

中图分类号:  R47;R197