目的 构建手术室围术期低体温预防管理评价指标体系.方法 2022年2月,以结构-过程-结果三维质量评价模式为理论框架,参考相关文献拟定手术室围术期低体温预防管理评价指标体系,采用德尔菲法对来自手术室护理管理、院内感染、麻醉领域的23名专家进行2轮专家函询,采用优序图法确定指标权重系数.结果 2轮专家函询的积极系数分别为100.0%和95.7%,专家权威系数分别为0.946和0.934,各项指标变异系数(CV)均＜0.25,Kendall's W值分别为0.419和0.359(均P＜0.001),最终构建了包含3项一级指标、9项二级指标、53项三级指标的手术室围术期低体温预防管理评价指标体系.结论 基于Delphi法构建手术室围术期低体温预防管理评价指标体系有较好的科学性和可靠性,可为手术室护理管理者提供参考,有利于临床开展科学、规范、统一的质量评价.
Objective To construct an evaluation indicator system for the prevention and management of perioperative hypothermia in operating theaters.Methods In February 2022,based on the three-dimensional(structure-process-outcome)quality evaluation model,an evaluation indicator system for preventive management of perioperative hypothermia in operating theaters was drawn up by referring to relevant literature.Then,23 experts in the fields of operating theater nursing management,nosocomial infection and anesthesia were consulted for two rounds by the Delphi method.The weight coefficient for each indicator was determined by a superiority chart.Results For the two rounds of expert consultation,the positive coefficient was 100.0%and 95.7%respectively,the authoritative coefficient was 0.946 and 0.934 respectively,the coefficient of variation(CV)was＜0.25 for each indicator and Kendall's W was 0.419 and 0.359 respectively(P＜0.001 for all).An evaluation indicator system for preventive management of perioperative hypothermia in operating theaters was finally constructed to consist of 3 first-level indicators,9 second-level indicators and 53 third-level indicators.Conclusion The evaluation indicator system for preventive management of perioperative hypothermia in operating theaters based on the Delphi method is scientific and reliable.It can provide a reference for nursing administrators in operating theaters and help to carry out scientific,standardized and unified quality evaluations in clinical practice.
王维;钱蒨健;钱文静;陈沅
上海交通大学医学院附属瑞金医院,上海 200025
临床医学
手术室;围术期;低体温;预防;三维质量评价模式;护理管理;指标体系;德尔菲技术(Delphi法)
Operating theater;Perioperative;Hypothermia;Prevention;Three-dimensional quality evaluation model;Nursing management;Indicator system;Delphi method
《上海护理》 2024 (003)
26-30 / 5
2021年上海市护理学会团体标准立项项目(2021-TBLX-06);上海交通大学医学院附属瑞金医院护理科研基金(RJKH-2023-010).
10.3969/j.issn.1009-8399.2024.03.006
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