脑卒中相关性肺炎护理风险评价指标体系的构建
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摘要
目的建立脑卒中相关性肺炎(SAP)护理风险评价指标体系,为SAP的预防与控制提供参考依据。方法在文献分析和半结构访谈的基础上,初步拟定SAP护理风险评价指标体系的基本框架。运用德尔菲法和层次分析法,筛选指标,并计算指标的权重。结果构建了包含6个一级指标和33个二级指标的SAP护理风险评价指标体系,两轮咨询专家积极系数分别为88.89%和100%,权威系数为0.8。结论构建的评价指标体系可以有效帮助管理者识别SAP发生的高风险因素及高危环节,为临床护理风险的有效防范提供评估依据。
Objective To establish a nursing risk assessment index system(NRAIS) for stroke-associated pneumonia(SAP), and provide reference for the prevention and control of SAP.Methods On the basis of literature analysis and semi-structured interviews, the basic framework of NRAIS for SAP was preliminarily drawn up. Indexes were screened by using Delphi method and analytic hierarchy process, the weight of index was calculated.Results The NRAIS for SAP consisting of 6 first-level indexes and 33 second-level indexes was constructed, positive coefficient of expert of two rounds consultation were 88.89% and 100% respectively, authoritative coefficients was 0.8%.Conclusion The constructed assessment index system can effectively help managers identify high-risk factors and high-risk links of SAP, and provide evaluation basis for effective prevention of clinical nursing risks.
Objective To establish a nursing risk assessment index system(NRAIS) for stroke-associated pneumonia(SAP), and provide reference for the prevention and control of SAP.Methods On the basis of literature analysis and semi-structured interviews, the basic framework of NRAIS for SAP was preliminarily drawn up. Indexes were screened by using Delphi method and analytic hierarchy process, the weight of index was calculated.Results The NRAIS for SAP consisting of 6 first-level indexes and 33 second-level indexes was constructed, positive coefficient of expert of two rounds consultation were 88.89% and 100% respectively, authoritative coefficients was 0.8%.Conclusion The constructed assessment index system can effectively help managers identify high-risk factors and high-risk links of SAP, and provide evaluation basis for effective prevention of clinical nursing risks.
引文
[1] Hilker R, Poetter C, Findeisen, et al. Nosocomial pneumonia after acute stroke : implications for neurological intensive care medicine[J]. Stroke, 2003, 34(4): 975-981.
[2] 龚蕉椒,李锐.脑卒中相关性肺炎的护理进展[J].现代临床医学,2013,39(4):315-317,320.
[3] 潘永惠,张黎明,李芳.老年脑卒中患者医院内获得性肺炎临床研究[J].中华医院感染学杂志,2007,17(11):1362-1364.
[4] 李沛良.社会研究的统计应用[M].北京:社会科学文献出版社,2001.
[5] 赵明利.优质护理服务住院患者满意度指标体系的研究[D].上海:第二军医大学,2012.
[6] 车宏生,王爱平,卞冉.心理与社会研究统计方法[M].北京:北京师范大学出版社,2006.
[7] 文进,谢瑜,高晓凤,等.美国飓风风险管理的循证评价及其对我国医疗风险管理的启示 ——医疗风险系列研究之三 [J].中国循证医学杂志,2006,6(3):209-217.
[8] 缪薇菁.护理风险管理的研究进展[J].中华护理杂志,2007,42(9):830-832.
[9] 赵彩莲.JCI标准在患者安全管理中的应用研究[D].杭州:浙江大学, 2011.
[10] 李六亿,徐艳.医院感染管理的风险评估[J].中国感染控制杂志,2016,15(7):441-446.
[11] 陈建红,杨平,杜彦辉.脑卒中相关性肺炎的危险因素分析[J].中国医学创新,2014, 11(17): 21-23.
[12] Martino R, Foley N, Bhogal S, et al. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications[J]. Stroke, 2005, 36(12): 2756-2763.
[13] 马俊秀,李振伟,樊凌华.卒中相关性肺炎[J].中国城乡企业卫生, 2014(3):27-30.
[14] 卒中相关性肺炎诊治中国专家共识组.卒中相关性肺炎诊治中国专家共识[J].中华内科杂志,2010,49(12):1075-1078.
[15] 蔡玲伟.卒中相关性肺炎的危险因素及防治对策[J].医药论坛杂志,2016,37 (10):111-113.
[16] 陈晓翠.危重患者非计划拔管护理风险评价指标体系的构建与研究[D].重庆:第三军医大学, 2015.
[2] 龚蕉椒,李锐.脑卒中相关性肺炎的护理进展[J].现代临床医学,2013,39(4):315-317,320.
[3] 潘永惠,张黎明,李芳.老年脑卒中患者医院内获得性肺炎临床研究[J].中华医院感染学杂志,2007,17(11):1362-1364.
[4] 李沛良.社会研究的统计应用[M].北京:社会科学文献出版社,2001.
[5] 赵明利.优质护理服务住院患者满意度指标体系的研究[D].上海:第二军医大学,2012.
[6] 车宏生,王爱平,卞冉.心理与社会研究统计方法[M].北京:北京师范大学出版社,2006.
[7] 文进,谢瑜,高晓凤,等.美国飓风风险管理的循证评价及其对我国医疗风险管理的启示 ——医疗风险系列研究之三 [J].中国循证医学杂志,2006,6(3):209-217.
[8] 缪薇菁.护理风险管理的研究进展[J].中华护理杂志,2007,42(9):830-832.
[9] 赵彩莲.JCI标准在患者安全管理中的应用研究[D].杭州:浙江大学, 2011.
[10] 李六亿,徐艳.医院感染管理的风险评估[J].中国感染控制杂志,2016,15(7):441-446.
[11] 陈建红,杨平,杜彦辉.脑卒中相关性肺炎的危险因素分析[J].中国医学创新,2014, 11(17): 21-23.
[12] Martino R, Foley N, Bhogal S, et al. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications[J]. Stroke, 2005, 36(12): 2756-2763.
[13] 马俊秀,李振伟,樊凌华.卒中相关性肺炎[J].中国城乡企业卫生, 2014(3):27-30.
[14] 卒中相关性肺炎诊治中国专家共识组.卒中相关性肺炎诊治中国专家共识[J].中华内科杂志,2010,49(12):1075-1078.
[15] 蔡玲伟.卒中相关性肺炎的危险因素及防治对策[J].医药论坛杂志,2016,37 (10):111-113.
[16] 陈晓翠.危重患者非计划拔管护理风险评价指标体系的构建与研究[D].重庆:第三军医大学, 2015.