基于患者需求和德尔菲法构建三甲医院延续性护理模式
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摘要
目的构建适合三甲医院的延续性护理模式,指导临床护理实践。方法对519例住院患者进行延续性护理需求调查,基于调查结果形成专家咨询问卷,并对23名专家进行2轮Delphi专家咨询,构建三甲医院的延续性护理模式。结果构建含"导向"、"评估时机"、"组织架构"、"内容"、"方式"、"期限"、"效果评价标准"7个一级指标,16个二级标及12个三级指标的三甲医院延续性护理模式。结论基于患者需求及Delphi专家咨询法构建的三甲医院延续性护理模式,具有一定的科学性和实用性。
Objective To construct a transitional care model suitable for grade three hospitals,and to guide clinical nursing practice.Methods A total of 519 inpatients were investigated for their needs of transitional care,and an expert consultation questionnaire was formed based on the investigation results,then 2 rounds Delphi expert consultation were conducted on 23 experts to construct a transitional care mode for grade three hospitals.Results The transitional care model for grade three hospitals was constructed,which consisted of 7 first level indicators(guidance,assessment time,organizational structure,content,way,deadline and effect evaluation standard),16 second level indicators and 12 three level indicators.Conclusion The transitional care model for grade three hospitals based on patient needs and Delphi method is scientific and practical.
Objective To construct a transitional care model suitable for grade three hospitals,and to guide clinical nursing practice.Methods A total of 519 inpatients were investigated for their needs of transitional care,and an expert consultation questionnaire was formed based on the investigation results,then 2 rounds Delphi expert consultation were conducted on 23 experts to construct a transitional care mode for grade three hospitals.Results The transitional care model for grade three hospitals was constructed,which consisted of 7 first level indicators(guidance,assessment time,organizational structure,content,way,deadline and effect evaluation standard),16 second level indicators and 12 three level indicators.Conclusion The transitional care model for grade three hospitals based on patient needs and Delphi method is scientific and practical.
引文
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[3]何翠竹,梁欣,苏斐,等.冠心病介入治疗患者延续性护理干预对感染预防的效果分析[J].中华医院感染学杂志,2016,26(15):3588-3589,3592.
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[7]戴明辉,么莉,万巧琴,等.出院患者延续护理服务需求调查分析[J].中国护理管理,2013,13(10):27-30.
[8]简平,沈军.不同级别医院护士延续护理知信行状况及障碍因素调查[J].护理学杂志,2017,32(13):58-60.
[9]胡雪慧,闫沛,张美霞,等.78所医院护理人员延续性护理认知与需求调查分析[J].护理管理杂志,2017,17(4):254-256.
[10]杨玲玲,赵振娟,林平,等.基于Delphi专家咨询法护士长绩效评价指标体系的构建[J].中华现代护理杂志,2012,18(9):997-1000.
[11]王莉,孙晓,吴茜,等.二、三级医院慢病延续性护理开展现况调查[J].护理学杂志,2017,32(2):85-89.
[12]Naylor M D,Bowles K H,McCauley K M,et al.Highvalue transitional care:translation of research into practice[J].J Eval Clin Pract,2013,19(5):727-733.
[13]Cusack M,Taylor C.A literature review of the potential of telephone follow-up in colorectal cancer[J].J Clin Nurs,2010,19(17-18):2394-2405.
[14]金逸,施雁,龚美芳,等.以慢性病患者为中心的延续性护理模式的实施与效果[J].中华护理杂志,2015,50(11):1388-1391.
[15]陈璐,奚兴,Janet Sit,等.三级医院延续性护理服务质量评价指标体系的构建[J].护理学杂志,2015,30(10):94-97.
[2]Beaver K,Latif S,Williamson S,et al.An exploratory study of the follow-up care needs of patients treated for colorectal cancer[J].J Clin Nurs,2010,19(23-24):3291-3300.
[3]何翠竹,梁欣,苏斐,等.冠心病介入治疗患者延续性护理干预对感染预防的效果分析[J].中华医院感染学杂志,2016,26(15):3588-3589,3592.
[4]曹楠,刘启贵.国内外延续护理研究的可视化分析[J].中国康复理论与实践,2017,23(2):226-231.
[5]田家利,公冶慧娟,刘宇,等.慢性病患者延续性护理的研究现状[J].中国护理管理,2017,17(1):108-111.
[6]刘钢,吴浩,李宁燕,等.“分级诊疗制度”主题研讨[J].中国全科医学,2016,19(16):1917-1923.
[7]戴明辉,么莉,万巧琴,等.出院患者延续护理服务需求调查分析[J].中国护理管理,2013,13(10):27-30.
[8]简平,沈军.不同级别医院护士延续护理知信行状况及障碍因素调查[J].护理学杂志,2017,32(13):58-60.
[9]胡雪慧,闫沛,张美霞,等.78所医院护理人员延续性护理认知与需求调查分析[J].护理管理杂志,2017,17(4):254-256.
[10]杨玲玲,赵振娟,林平,等.基于Delphi专家咨询法护士长绩效评价指标体系的构建[J].中华现代护理杂志,2012,18(9):997-1000.
[11]王莉,孙晓,吴茜,等.二、三级医院慢病延续性护理开展现况调查[J].护理学杂志,2017,32(2):85-89.
[12]Naylor M D,Bowles K H,McCauley K M,et al.Highvalue transitional care:translation of research into practice[J].J Eval Clin Pract,2013,19(5):727-733.
[13]Cusack M,Taylor C.A literature review of the potential of telephone follow-up in colorectal cancer[J].J Clin Nurs,2010,19(17-18):2394-2405.
[14]金逸,施雁,龚美芳,等.以慢性病患者为中心的延续性护理模式的实施与效果[J].中华护理杂志,2015,50(11):1388-1391.
[15]陈璐,奚兴,Janet Sit,等.三级医院延续性护理服务质量评价指标体系的构建[J].护理学杂志,2015,30(10):94-97.