摘要
目的构建咽瘘伤口湿性治疗评估指标体系。方法以整体护理理念为理论框架,检索PubMed、CINAHL、中国知网、万方数据知识服务平台、维普网数据库自建库至2023年1月的相关文献,经专家小组讨论后初步制订咽瘘伤口湿性治疗评估指标体系库、设计专家函询问卷。2023年4月至6月,采用目的抽样法,邀请来自中国东北、华北、华东、华南、华中、西南地区12个省市及自治区的15所三级甲等医院的25名专家进行函询,专家小组针对函询结果进行讨论并最终修订指标体系,应用层次分析法确定各层级指标权重并检验各层级指标逻辑一致性。结果专家函询问卷全部回收,有效回收率为100%。专家熟悉系数为0.912、判断系数为0.960、权威系数为0.936、肯德尔协调系数为0.392(P<0.001)。最终构建的咽瘘伤口湿性治疗评估指标体系包括一级指标3个、二级指标6个及三级指标28个,一级指标权重分别为0.7029(生理因素)、0.1149(心理因素)和0.1822(社会因素),各层级指标一致性检验系数均<0.100。结论初步构建的咽瘘伤口湿性治疗评估指标体系具有较高的权威性和科学性,可作为伤口治疗师评估咽瘘伤口的有效工具,指标体系的适用性和应用效果仍有待进一步验证。
Objective To construct an evaluation index system for wet treatment of pharyngeal fistula wounds.Methods Based on the theoretical framework of the concept of holistic nursing,relevant literatures of PubMed,CINAHL,CNKI,Wanfang and VIP databases from their establishment to January 2023 were searched.After discussion by the expert group,a preliminary evaluation index system library for wet treatment of pharyngeal fistula wounds was developed,and an expert inquiry form was designed.From April to June 2023,a purposive sampling method was used to invite 25 experts from 15 tertiary grade A hospitals in 12 provinces,cities and autonomous regions in Northeast,North,East,South,Central and Southwest China as the objects of inquiry.The expert’s positivity coefficient,authority coefficient and coordination coefficient were calculated based on inquiry results,and finally the indicator system was determined through expert discussion.Weight coefficients of indicators at all levels were determined and logical consistency of indicators at all levels were tested by using analytic hierarchy process.Results Effective response rate of expert inquiry questionnaire was 100.0%,expert enthusiasm coefficient was 100.0%,expert familiarity coefficient was 0.912,expert judgment coefficient was 0.960,expert authority coefficient was 0.936,and expert Kendall coordination coefficient was 0.392(P<0.001).Indicator system consists of three primary indicators,six secondary indicators and 28 tertiary indicators were finally established.Weights of primary indicators were 0.7029(physiological factors),0.1149(psychological factors)and 0.1822(social factors),respectively.Consistency test coefficients of indicators at each level were less than 0.100.Conclusion Preliminary constructed evaluation index system for wet treatment of pharyngeal fistula wounds has high authority and scientificity,and can be used as an effective tool for wound therapists to evaluate pharyngeal fistula wounds.Applicability and application effect of index system still need further verification.
作者
任晓波
田梓蓉
刘永玲
张欣
金晓婷
韦昌韵
REN Xiaobo;TIAN Zirong;LIU Yongling;ZHANG Xin;JIN Xiaoting;WEI Changyun(Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing100730,China;Department of Nursing,Beijing Tongren Hospital,Capital Medical University,Beijing100730,China;Department of Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing100730,China)
出处
《中国医药导报》
CAS
2024年第19期163-168,共6页
China Medical Herald
基金
北京市医院管理中心“培育计划”项目(PX2021009)
首都医科大学附属北京同仁医院科研基金项目(2018-YJJHLL-006)。
关键词
咽瘘
湿性愈合
指标体系
德尔菲法
Pharyngeal fistula
Wet healing
Index system
Delphi method
作者简介
任晓波(1983.9-),女,首都医科大学护理学院2020级护理专业在读硕士研究生,副主任护师,首都医科大学附属北京同仁医院耳鼻咽喉头颈外科护士长,研究方向:耳鼻咽喉头颈外科临床护理与管理,通讯作者:田梓蓉。
