感染性休克急救护理质量评价指标体系的构建 [中文引用][英文引用]

目的  构建感染性休克急救护理质量评价指标体系，为提高救护感染性休克患者质量提供依据。方法  以三维质量管理模式为框架，运用文献回顾，结合专家访谈，形成感染性休克急救护理质量评价初稿，再制订专家函询问卷，2024 年 3月 1 日至 4 月 30 日对 16 名专家进行函询，经过层次分析法确定各级指标的权重，构建感染性休克急救护理质量评价指标体系。结果  共实施 2 轮专家函询。第 1、2 轮函询问卷回收率均为 100.0%，专家权威系数（authority coefficient，Cr）为 0.871，两轮函询总体评价指标体系的 Kendall 协调系数 W 值分别为 0.378 和 0.397（均 P<0.001）。形成了包含 3 个一级指标、12 个二级指标、43 个三级指标的感染性休克急救护理质量评价指标体系，确立了各级指标权重系数，各级指标变异系数均 <0.13。结论  本研究构建的感染性休克护理质量指标体系指标符合患者急救的理念，权重分配合理，对评价急救质量具有指导意义。

Objective To develop an indexed quality evaluation system of emergency nursing quality in septic shock. Methods Based on the framework of the three-dimensional quality management model, a literature review was conducted, combined with expert interviews, to form a preliminary evaluation of the of emergency nursing for septic shock, and then a questionnaire for expert consultation was developed. From March 1st, to April 30th, 2024, expert consultation was conducted to survey 16 experts, and the weights of various indicators at all levels were determined using the analytic hierarchy process and the evaluation index system for the quality of emergency nursing for septic shock was constructed. Results The two rounds of expert consultation had 100.0% valid response rate with the expert authority coefficient（Cr）at 0.871 and the two rounds of expert consultation at 0.378 and 0.397（both P<0.001）in Kendall’s coefficient of concordance（W）. The indexed evaluation system for assessment of emergency nursing quality in septic shock included 3 dimensions, 12 secondary indices and 43 tertiary indices. The weight coefficients of indices at all levels were then established with the variation coefficients of indices <0.13. Conclusion The indexed evaluation system of assessment of emergency nursing quality in septic shock developed in this study is in line with the concept of patient care in emergent nursing. It has reasonable weight distributions, therefore it can be used as a guidance in the assessment of emergency nursing quality.