【摘要】 目的构建预防慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)急性加重的护理质量评价指标体系。方法以"结构—过程—结果"框架为理论依据,采用文献分析、半结构式访谈、德尔菲专家函询及层次分析法,确定各指标及权重,构建护理质量评价指标体系。结果 2轮专家函询的积极系数分别为92.31%、95.83%,专家权威系数分别为0.769、0.895,协调系数分别为0.121、0.204。形成了3个一级指标、12个二级指标、53个三级指标的护理质量评价指标体系,确立了各层级指标权重系数。结论该指标体系符合专科特点,层次分明,评价指标明确,权重分配合理,为进一步实证研究奠定了基础。更多还原

【Abstract】 Objective To construct a nursing quality evaluation indicator system for the prevention of acute exacerbation of chronic obstructive pulmonary disease(COPD). Methods Based on the model of the "Structure-Process-Result",this study combined the methods of literature analysis,semi-structured interviews,Delphi method and analytic hierarchy process to determine the weight of each index and constructed the COPD nursing quality evaluation indicator system. Results The positive coefficients of the two rounds of expert inquiries respectively were92.31% and 95.83%. The authoritative coefficients of experts were 0.769 and 0.895,and the coordination coefficients respectively were 0.121 and 0.204. This nursing quality evaluation indicator system consisted of 3 first-level indicators,12 second-level indicators,and 53 third-level indicators. The weight coefficients of each level indicators were established. Conclusion This indicator system reflects the characteristics of COPD and has a clear hierarchy,accurate evaluation indicators,and reasonable weight distribution. It builds a foundation for further empirical research.更多还原