基于改良德尔菲法和复杂网络模型的肿瘤护理质量敏感指标构建
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发布人:yaot 发布时间:2020/11/11 15:14:21  浏览次数:1662次
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——严莉 文进 陈永琴 肖仁梅 贺世春 陈小莉 陈桂兰 何燕


【摘要】目的 构建具有科学性、可操作性的肿瘤专科护理质量敏感指标,为肿瘤专科护理质量评价提供依据。方法 采用改良德尔菲法筛选肿瘤护理质量敏感指标,采用复杂网络模型确定肿瘤护理质量敏感指标。结果 两轮函询专家积极系数均为100%,权威系数分别为0.77和0.84,协调系数为0.233~0.383,各指标相对点出度均大于0.2。最终构建的肿瘤护理质量敏感指标包含结构指标3项、过程指标5项、结果指标5项。结论 基于改良德尔菲法和复杂网络模型构建的敏感指标具有科学性和可操作性。
【关键词】改良德尔菲法;复杂网络模型;肿瘤护理;敏感性指标;护理质量
中图分类号:R473.73文献标识码:A
Construction of Oncology Nursing Sensitive Quality Indicators Based on the Modified Delphi Method and Complex Network Model/YAN Li,WEN Jin,CHEN Yongqin,et al.//Chinese Health Quality Management,2020,27(5):55-58
Abstract Objective To construct scientific and operational oncology specialty nursing sensitive quality index, and to provide reference for the quality evaluation of oncology specialty nursing. Methods The modified Delphi method was used to screen the sensitive indexes of oncology nursing quality and the complex network model was used to determine the sensitive indexes of oncology nursing quality. Results The positive coefficients of the two rounds of correspondence consultation were 97% and 100%, the authority coefficients were 0.77 and 0.84, the coordination coefficients were 0.233 to 0.383, and the relative point out degree of each index was greater than 0.2. The final constructed sensitive indexes of oncology nursing quality include three structural indexes, five process indexes and five outcome indexes. Conclusion The sensitive index based on the modified Delphi method and complex network model was scientific and operational.
Key words Modified Delphi Method; Complex Network Model; Oncology Nursing; Sensitivity Index; Nursing Quality
Firstauthor's address Three Gorges Central Hospital, Chongqing,404000, China

  近年来,我国癌症发病率和死亡率迅速增加[1]。《“健康中国2030”规划纲要》提出,到2030年将总体癌症5年生存率提高15%。实现这一目标,需要持续改进肿瘤护理质量。国内外学者[2-3]广泛采用专科护理敏感指标评价肿瘤护理质量。如国外学者构建了门诊化疗护理敏感指标[4]、癌症患者家庭肠外营养护理质量指标[5]、儿童癌症护理敏感指标[6]等。我国学者从不同角度(如治疗方式[7]、肿瘤类型[8]、疾病分期[9]等)建立了肿瘤护理质量指标,但还没有一套适合我国国情的通用肿瘤护理质量敏感指标。

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原文链接:基于改良德尔菲法和复杂网络模型的肿瘤护理质量敏感指标构建