本文選題：循證醫(yī)學(xué) + 德?tīng)柗萍夹g(shù)　； 參考：《浙江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的本研究旨在循證的基礎(chǔ)上,構(gòu)建科學(xué)、敏感、實(shí)用的老年護(hù)理院護(hù)理安全質(zhì)量評(píng)價(jià)指標(biāo)體系,為老年護(hù)理院護(hù)理安全質(zhì)量評(píng)價(jià)與監(jiān)測(cè)提供依據(jù)。方法本課題運(yùn)用循證的方法,制定嚴(yán)密的檢索策略,檢索國(guó)內(nèi)外常用的醫(yī)養(yǎng)護(hù)老年服務(wù)機(jī)構(gòu)護(hù)理質(zhì)量評(píng)價(jià)指標(biāo)體系的文獻(xiàn),并找出與護(hù)理安全質(zhì)量相關(guān)的敏感性指標(biāo)。采用美國(guó)霍普金斯證據(jù)等級(jí)與質(zhì)量評(píng)價(jià)方法對(duì)檢索到的文獻(xiàn)進(jìn)行等級(jí)及質(zhì)量評(píng)定,通過(guò)研究小組討論初步擬定適合我國(guó)國(guó)情的老年護(hù)理院護(hù)理安全質(zhì)量敏感性指標(biāo)。隨后采用德?tīng)柗茖?zhuān)家咨詢(xún)法,通過(guò)17名老年護(hù)理專(zhuān)家對(duì)初步形成指標(biāo)的重要性、指標(biāo)計(jì)算公式合理性、指標(biāo)收集資料方法可操作性進(jìn)行評(píng)價(jià),最后確立符合我國(guó)國(guó)情的老年護(hù)理院護(hù)理安全質(zhì)量敏感性指標(biāo)體系。結(jié)果構(gòu)建了跌倒發(fā)生率、誤吸或噎食發(fā)生率、肺部感染發(fā)生率等包含14項(xiàng)老年護(hù)理院護(hù)理安全質(zhì)量敏感性指標(biāo)的體系。兩輪專(zhuān)家咨詢(xún)積極系數(shù)都為100%,權(quán)威系數(shù)為0.87,2輪專(zhuān)家咨詢(xún)后各項(xiàng)指標(biāo)重要性的變異系數(shù)為0.00～0.21,各指標(biāo)計(jì)算公式合理性變異系數(shù)為0.00～0.12,各指標(biāo)收集資料方法可操作性變異系數(shù)為0.00～0.20,均小于0.25。兩輪專(zhuān)家協(xié)調(diào)系數(shù)為0.104～0.226,P0.05。結(jié)論基于循證及德?tīng)柗茖?zhuān)家咨詢(xún)法構(gòu)建了 14項(xiàng)老年護(hù)理院護(hù)理安全質(zhì)量敏感性指標(biāo),并確立了各指標(biāo)的涵義、計(jì)算公式及資料收集方法。構(gòu)建的老年護(hù)理院護(hù)理安全質(zhì)量敏感性指標(biāo),符合科學(xué)性原則,可用來(lái)評(píng)價(jià)老年護(hù)理院護(hù)理安全質(zhì)量。
[Abstract]:Objective to establish a scientific, sensitive and practical evaluation index system for nursing safety quality of elderly nursing homes, and to provide a basis for the evaluation and monitoring of nursing safety quality in the elderly nursing home. Methods this subject uses evidence-based methods to establish a strict retrieval strategy and retrieve the common service machine for curing the elderly at home and abroad. The literature of the evaluation index system of nursing quality was constructed and the sensitive index related to the quality of nursing safety was found. The grade and quality evaluation of the retrieved literature was evaluated by the Hopki evidence grade and quality evaluation method in the United States, and the quality sensitivity of nursing safety in the elderly nursing home was preliminarily drawn up through the study group. Then, the Delphy expert consultation method was adopted to evaluate the importance of 17 geriatric nursing experts on the initial formation of indicators, the rationality of the index calculation formula, the evaluation of the maneuverability of the index collection method, and the final establishment of the quality sensitivity index system of nursing safety in the elderly nursing home. The incidence, the incidence of mistaken aspiration or choking, and the incidence of lung infection included 14 systems of sensitive index of nursing safety quality in the elderly nursing homes. The positive coefficient of two rounds of expert consultation was 100%. The coefficient of variation of the authority coefficient was 0 to 0.21 after the 0.87,2 round of expert consultation. The number of data was 0 to 0.12, the coefficient of variability of the data collection method was 0 ~ 0.20, all of which were less than 0.25. two rounds of expert coordination coefficient of 0.104 ~ 0.226. P0.05. conclusion based on evidence-based and Delphy expert consultation method, the nursing safety quality sensitivity index of 14 elderly nursing homes was constructed, and the meaning of each index was established and the calculation formula was established. And the data collection method. The sensitive index of nursing safety quality of the elderly nursing home is in accordance with the scientific principle, and it can be used to evaluate the nursing safety quality of the elderly nursing home.

【學(xué)位授予單位】：浙江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R47

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