急性呼吸窘迫综合征患者俯卧位通气护理质量评价指标的构建

目的 构建急性呼吸窘迫综合征（acute respiratory distress syndrome,ARDS）患者俯卧位通气护理质量评价指标,为评价ARDS患者俯卧位通气护理质量提供依据。 方法 基于三维质量结构模型,通过文献分析、半结构式访谈初步拟订ARDS患者俯卧位通气护理质量评价指标,于2020年9月—11月采用德尔菲法对35名专家进行2轮咨询确立ARDS患者俯卧位通气护理质量评价指标。 结果 2轮咨询问卷回收率均为100%,专家权威系数为0.85、0.89,肯德尔和谐系数为0.155、0.122。最终形成的ARDS患者俯卧位通气护理质量评价指标包含3项一级指标、8项二级指标、41项三级指标。 结论 构建的ARDS患者俯卧位通气护理质量评价指标具有较高可靠性和科学性,可作为评价ARDS患者俯卧位通气护理质量的依据。

Construction of the evaluation index of prone position ventilation nursing quality for patients with acute respiratory distress syndrome

Objective The establishment of an evaluation index for the quality of prone ventilation care for patients with acute respiratory distress syndrome （ARDS） is to provide a basis for evaluating the quality of prone ventilation care for patients with ARDS. Methods Based on the three-dimensional quality structure model,through literature analysis and semi-structured interviews,a preliminary drafting of an ARDS patient prone position ventilation nursing quality evaluation index was established. From September to November 2020,the Delphi method was used to conduct 2 rounds of consultation inquiries to 35 experts to establish the evaluation index of the ARDS patient’s prone position ventilation nursing quality. Results The recovery rates of the 2 rounds of questionnaires were 100%;the expert authority coefficients were 0.85 and 0.89;the Kendall harmony coefficients were 0.155 and 0.122,respectively. The final evaluation index of prone ventilation nursing quality for ARDS patients includes 3 first-level indicators,8 second-level indicators,and 41 third-level indicators. Conclusion The constructed evaluation index of prone ventilation nursing quality for ARDS patients is highly reliable and practical,and can be used as a basis for evaluating the prone ventilation nursing quality of ARDS patients.