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炎症性肠病患者护理质量指标的构建
作者:陈进霞1  孙晓美1  任燕1  段婷婷2  排日代·伊敏尼亚孜2  迪力热巴·吐达吉雅2  陈洪1  卜迟斌1 
单位:1. 东南大学附属中大医院 消化内科, 江苏 南京 210009;
2. 东南大学 医学院, 江苏 南京 210009
关键词:炎症性肠病 德尔菲技术 质量 指标 
分类号:R197.323;R473.5
出版年·卷·期(页码):2021·49·第三期(348-353)
摘要:

目的:构建炎症性肠病(IBD)护理质量指标,旨在为规范临床护理行为、评价IBD护理质量提供参考依据。方法:在“结构-过程-结果”理论框架的基础上,通过文献回顾、半结构式访谈、专家咨询和层次分析法,确定IBD护理质量指标的内容及各指标的权重。结果:两轮德尔菲咨询专家积极系数为100%,专家权威系数为0.87和0.92,Kendall和谐系数分别为0.252和0.237。最终形成的IBD护理质量指标体系包括3个一级指标、10个二级指标、67个三级指标。结论:构建的IBD护理质量指标具有较高的科学性和可靠性,能够指导临床护理工作,并对IBD临床护理质量的评价有较大意义。

参考文献:

[1] MOLODECKY N A,SOON I S,RABI D M,et al. Increasing incidence and prevalence of the inflammatory bowel diseases with time,based on systematic review[J].Gastroenterology,2012,142(1):46-54.
[2] KAPLAN G G. The global burden of IBD:from 2015 to 2025[J].Nat Rev Gastroenterol Hepatol,2015,12(12):720-727.
[3] KNOWLES S R,GRAFF L A,WILDING H,et al. Quality of life in inflammatory bowel disease:a systematic review and meta-analyses-Part I[J].Inflamm Bowel Dis,2018,24(4):742-751.
[4] MAAS M,JOHNSON M,MOOREHEAD S. Classifying nursing-sensitive patient outcomes[J].J Nurs Scholarship,1996,28(4):295-301.
[5] FIORINO G,LYTRAS T,YOUNGE L,et al. Quality of care standards in inflammatory bowel diseases:a European Crohn's and Colitis Organisation[ECCO] position paper[J].J Crohns Colitis,2020,14(8):1037-1048.
[6] DONABEDIAN A. Quality assurance,structure,process and outcome[J].Nurs Stand,1992,7(11):4-5.
[7] TORREJÓN A,OLTRA L,HERNÁNDEZ-SAMPELAYO P,et al. Development of quality standards in inflammatory bowel disease management and design of an evaluation tool of nursing care[J].Rev Esp Enferm Dig,2013,105(5):262-271.
[8] LOUIS E,DOTAN I,GHOSH S,et al.Optimizing the inflammatory bowel disease unit to improve quality of care:expert recommendations[J].J Crohn's Colitis,2015,9(8):685-691.
[9] FIORINO G,ALLOCCA M,CHAPARRO M,et al. Quality of care' standards in inflammatory bowel disease:a systematic review[J].J Crohns Colitis,2019,13(1):127-137.
[10] JACKSON B D,DE CRUZ P. Quality of care in patients with inflammatory bowel disease[J].Inflamm Bowel Dis,2019,25(3):479-489.
[11] 陈进霞,李梦婷,孙晓美.克罗恩病患者自我管理现状的质性研究[J].现代医学,2018,46(4):413-416.
[12] 赵诗雨,喻姣花,汪欢,等.基于循证构建肠内营养护理质量敏感指标体系[J].中华护理杂志,2019,54(3):344-349.
[13] DIAMOND I R,GRANT R C,FELDMAN B M,et al. Defining consensus:a systematic review recommends methodologic criteria for reporting of Delphi studies[J].J Clin Epidemiol,2014,67(4):401-409.
[14] 刘自远,刘成福.综合评价中指标权重系数确定方法探讨[J].中国卫生质量管理,2006,13(2):44-46.
[15] 王洪梅,黄霞,张艳,等.心脏康复护理质量评价指标体系的构建[J].中华护理杂志,2018,53(11):1323-1327.
[16] STROHL M,GONCZI L,KURT Z,et al. Quality of care in inflammatory bowel diseases:what is the best way to better outcomes?[J].World J Gastroenterol,2018,24(22):2363-2372.
[17] GONCZI L,KURTI Z,GOLOVICS P A,et al. Quality of care indicators in inflammatory bowel disease in a tertiary referral center with open access and objective assessment policies[J].Dig Liver Dis,2018,50(1):37-41.
[18] 孙琳,黄迎春,沈子琳,等.肠内营养护理质量评价指标体系的构建[J].中国护理管理,2017,17(3):341-345.
[19] EGBERG M D,GULATI A S,GELLAD Z F,et al. Improving quality in the care of patients with inflammatory bowel diseases[J].Inflamm Bowel Dis,2018,24(8):1660-1669.
[20] O'CONNOR M,GAARENSTROOM J,KEMP K,et al. N-ECCO survey results of nursing practice in caring for patients with Crohn's disease or ulcerative colitis in Europe[J].J Crohns Colitis,2014,8(10):1300-1307.
[21] ELKJAER M,MOSER G,REINISCH W,et al. IBD patients need in health quality of care ECCO consensus[J].J Crohns Colitis,2008,2(2):181-188.
[22] O'CONNOR M,BAGER P,DUNCAN J,et al. N-ECCO Consensus statements on the European nursing roles in caring for patients with Crohn's disease or ulcerative colitis[J].J Crohns Colitis,2013,7(9):744-764.
[23] COENEN S,WEYTS E,VERMEIRE S,et al. Effects of introduction of an inflammatory bowel disease nurse position on the quality of delivered care[J].Eur J Gastroenterol Hepatol,2017,26(6):646-650.
[24] MAWDSLEY J E D,IRVING P M,MAKINS R J,et al. Optimizing quality of outpatient care for patients with inflammatory bowel disease:the importance of specialist clinics[J].Eur J Gastroenterol Hepatol,2006,18(3):249-253.
[25] CALVET X,PANÉS J,ALFARO N,et al. Delphi consensus statement:quality indicators for inflammatory bowel disease comprehensive care units[J].J Crohn's Colitis,2014,8(3):240-251.

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