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基于三维质量结构模型构建母乳喂养护理质量评价指标体系

Construction of the evaluation system for breastfeeding nursing quality based on the model of three-dimensional quality structure

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【作者】 孙琳琳王君芝褚梁梁张国春许翠萍

【Author】 SUN Linlin;WANG Junzhi;CHU Liangliang;ZHANG Guochun;XU Cuiping;School of Nursing and Rehabilitation, Shandong University;

【通讯作者】 许翠萍;

【机构】 山东大学护理与康复学院山东第一医科大学第一附属医院护理部山东第一医科大学护理学院山东大学山东省千佛山医院护理部

【摘要】 目的 :构建母乳喂养护理质量评价指标体系,为评价母乳喂养护理质量提供依据,以提高我国纯母乳喂养率。方法 :以Donabedian的“结构-过程-结果”三维质量结构模型为理论基础,通过文献检索、德尔菲专家函询、层次分析法构建母乳喂养护理质量评价指标体系。结果 :两轮专家函询问卷回收率分别为93.94%、100.00%,专家权威系数均为0.964,第二轮专家函询二级、三级指标的肯德尔和谐系数分别为0.147、0.152(均P<0.01),最终构建的母乳喂养护理质量评价指标体系包含3项一级指标、11项二级指标、59项三级指标。结论 :本研究构建的母乳喂养护理质量评价指标体系具有较高的可靠性、科学性、全面性及实用性,有利于母乳喂养护理质量的改进。

【Abstract】 Objective: To establish the evaluation index system for breastfeeding nursing quality to provide basis for further improvement of pure breastfeeding rate in China. Methods: Based on the three-dimensional quality structure model including structure, process and outcome proposed by Donabedian, a American scholar, the evaluation system for breastfeeding nursing quality was built through literature retrieval, Delphi method and analytic hierarchy process. Results:The recovery rates of the two rounds of questionnaires were 93.94% and 100.00%, respectively, with the expert authority coefficient being 0.964. The Kendall harmony coefficients of the secondary and tertiary indicators of the second round were 0.147 and 0.152, respectively(P<0.01). The final evaluation index system of breastfeeding nursing quality included 3 primary indicators, 11 secondary indicators and 59 tertiary indicators. Conclusion: The evaluation index system of breastfeeding nursing quality constructed in this study has demonstrated high reliability, scientificity, comprehensiveness and practicability,which is conducive to better breastfeeding nursing quality.

  • 【文献出处】 中国护理管理 ,Chinese Nursing Management , 编辑部邮箱 ,2023年02期
  • 【分类号】R473.72
  • 【下载频次】210
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