| Citation: |
CHENG Mei, LI Liming, BAI Xiangwei, YUAN Mengyang, YUAN Fangfang. Construction of sensitive indicators of quality of emergency nursing in patients with acute aortic dissection[J]. Journal of Clinical Medicine in Practice, 2024, 28(6): 124-128. DOI: 10.7619/jcmp.20232842
|
To establish sensitive indicators for the evaluation of emergency nursing quality in patients with acute aortic dissection.
Based on the three-dimensional quality theory model of "structure-process-outcome", evidence-based nursing methods were used to synthesize evidence and conduct two rounds of expert consultation to determine sensitive indicators for the quality of emergency nursing in patients with acute aortic dissection.
The effective recovery rates of the two rounds of expert consultation questionnaires were 100.00% and 94.12%, respectively. The judgment basis coefficients (Ca) of the experts who participated in the two rounds of consultation were 0.893 and 0.914, respectively, and the familiarity coefficients (Cs) were 0.902 and 0.921, respectively, and the authority coefficients (Cr) were 0.898 and 0.918, respectively. The Kendall coefficients of the first round of consultation experts for the first, second, and third-level indicators were 0.212, 0.247, and 0.327, respectively, and were 0.225, 0.349, and 0.257, respectively in the second round of consultation experts. Finally, the sensitive indicators for the quality of emergency nursing of AAD patients were constructed, including 3 first-level indicators, 8 second-level indicators, and 29 third-level indicators.
The sensitive indicators for the quality of emergency nursing of AAD patients constructed in this study can be used as a basis for evaluating the quality of emergency nursing in patients with acute aortic dissection.
| [1] |
AKUTSU K. Etiology of aortic dissection[J]. Gen Thorac Cardiovasc Surg, 2019, 67(3): 271-276. doi: 10.1007/s11748-019-01066-x
|
| [2] |
梁平, 张向京, 王颖. Stanford A型主动脉夹层围术期护理质量评价指标的构建[J]. 护理研究, 2022, 36(12): 2107-2112. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202212006.htm
|
| [3] |
刘裕文, 李庆印, 刘湉, 等. 急性主动脉夹层患者急诊临床恶化动态预警方案的构建及应用研究[J]. 中华急危重症护理杂志, 2022, 3(6): 485-490. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZH202206001.htm
|
| [4] |
张海燕, 李艳鑫. Stanford B型主动脉夹层胸主动脉腔内修复围术期护理质量评价指标体系的构建[J]. 护理研究, 2023, 37(13): 2340-2346. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202313009.htm
|
| [5] |
DONABEDIAN A. Evaluating the quality of medical care. 1966[J]. Milbank Q, 2005, 83(4): 691-729. doi: 10.1111/j.1468-0009.2005.00397.x
|
| [6] |
杨欣, 张健, 姜金霞, 等. 急性ST段抬高型心肌梗死急救护理质量敏感指标体系的构建[J]. 中华现代护理杂志, 2021, 27(26): 3578-3582. https://www.cnki.com.cn/Article/CJFDTOTAL-XDLH202104009.htm
|
| [7] |
葛经武, 乔玫, 袁翠萍, 等. 持续质量改进缩短主动脉全弓置换术术前准备时间的效果观察[J]. 实用临床医药杂志, 2018, 22(23): 157-159. doi: 10.7619/jcmp.201823049
|
| [8] |
OKOLI C, PAWLOWSKI S D. The Delphi method as a research tool: an example, design considerations and applications[J]. Inf Manag, 2004, 42(1): 15-29. doi: 10.1016/j.im.2003.11.002
|
| [9] |
丁慧. 急诊科护理质量敏感性指标体系的构建[D]. 合肥: 安徽医科大学, 2022.
|
| [10] |
刘莉, 喻翠英, 耿丽, 等. Stanford A型急性主动脉夹层实施多学科团队急救绿色手术通道的建立与应用效果[J]. 循证护理, 2023, 9(7): 1255-1259. https://www.cnki.com.cn/Article/CJFDTOTAL-XZHL202307021.htm
|
| [11] |
王宝珠, 李燕, 马翔, 等. 急性主动脉夹层早期CTA诊断价值研究[J]. 中国数字医学, 2019, 14(10): 2-4. https://www.cnki.com.cn/Article/CJFDTOTAL-YISZ201910002.htm
|
| [12] |
徐伟, 陈晓莉, 林文风, 等. 急性主动脉夹层患者急诊目标血压管理的循证实践[J]. 护理学杂志, 2022, 37(7): 90-94. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202207026.htm
|
| [13] |
谈莉萍, 周意, 方芳, 等. 主动脉A型夹层围手术期护理质量敏感性指标的构建[J]. 中国实用护理杂志, 2020, 36(29): 2251-2257.
|
| [14] |
迪里夏提·斯提, 阿斯亚·阿不得斯木, 马翔. 急性主动脉夹层早期疼痛控制情况及影响因素分析[J]. 中华实用诊断与治疗杂志, 2018, 32(1): 35-38. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD201801031.htm
|
| [15] |
秦嵩博, 由辰飞, 张伟佳, 等. 血清sST2在主动脉壁间血肿和主动脉夹层诊断中的价值[J]. 济宁医学院学报, 2022, 45(6): 410-413. https://www.cnki.com.cn/Article/CJFDTOTAL-JNYY202206006.htm
|
| [16] |
急诊胸痛心血管标志物联合检测共识专家组, 中国医疗保健国际交流促进会急诊医学分会. 急诊胸痛心血管标志物检测专家共识[J]. 中华急诊医学杂志, 2022, 31(4): 448-458. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYW202202009.htm
|
| [17] |
褚志祥, 全小姣, 陈威, 等. 影响急诊患者长时间滞留的因素分析: 以三亚某医院为例[J]. 中国急救复苏与灾害医学杂志, 2022, 17(6): 751-754. https://www.cnki.com.cn/Article/CJFDTOTAL-YTFS202206013.htm
|
| 1. |
付政平，董贤明，秦建领，卢奎彬，渠展，王庆丰，汤聪，徐红艳，岳雨倩. 社区获得性肺炎凝血功能异常对治疗和预后的影响. 山西卫生健康职业学院学报. 2024(06): 40-42 .
| |
| 2. |
叶文，龙尧水，陈咏梅，胡泽玉，白文学. MPV、PCT、PDW、P-LCR、MPR对儿童SCAP的诊断价值. 检验医学与临床. 2023(09): 1325-1329 .
| |
| 3. |
吴颖，高蔚，翁婷. 血浆FIB-PLT-DD联合检测在慢性肺源性心脏病治疗中的临床意义. 中国医药科学. 2023(19): 177-180+185 .
| |
| 4. |
史妹，周历安，符叶柳. 床旁肺超声B线计数及外周血嗜酸性粒细胞评估慢性阻塞性肺疾病并发肺炎的价值及其相关因素分析. 海军医学杂志. 2023(12): 1243-1247 .
| |
| 5. |
雷云飞，宋影，王亚冰. D–二聚体及凝血功能指标对慢性阻塞性肺疾病的检验价值. 深圳中西医结合杂志. 2022(23): 54-56 .
| |
| 6. |
黄鑫，王卫阳. 阿莫西林克拉维酸钾联合补肺活血胶囊对慢性阻塞性肺疾病患者肺功能及预后影响. 临床军医杂志. 2021(07): 785-786 .
| |
| 7. |
李刚，孙雨婷，王佳美，李满元. 外周血平均血小板体积在儿童社区获得性肺炎中的价值. 中国医药指南. 2021(31): 87-88+91 .
|
© 2020 《实用临床医药杂志》编辑部
Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807
Supported by:
Beijing Renhe Information Technology Co., Ltd.
苏公网安备 32100302010246号
DownLoad: