急性胰腺炎早期液体复苏管理评价体系的构建

Construction of early fluid resuscitation management evaluation system for acute pancreatitis

  • 摘要:
    目的 构建急性胰腺炎(AP)患者早期液体复苏评价体系, 以规范临床液体复苏实施行为,促进患者最佳结局。
    方法 基于“结构-过程-结果”三维质量评价模型,结合文献分析、专家会议法、德尔菲法及层次分析法,构建AP早期液体复苏评价体系及确定各指标权重。
    结果 2轮问卷有效回收率均为100%, 专家权威系数为0.84和0.89, 肯德尔和谐系数为0.239和0.261。最终AP早期液体复苏的指标评价体系包括一级指标共3项,二级指标共9项,三级指标共25项。
    结论 构建的AP早期液体复苏管理评价体系具有科学性和实用性,能有效评估医院AP早期液体复苏执行质量,可推动临床护理质量持续优化。

     

    Abstract:
    Objective To establish an early fluid resuscitation evaluation system for patients with acute pancreatitis (AP), in order to standardize clinical fluid resuscitation behavior and promote the best outcome of patients.
    Methods Based on the "structure-process-result" three-dimensional quality evaluation model, combined with literature analysis, expert conference method, Delphi method and analytic hierarchy process, the AP early liquid recovery evaluation system was established and the weights of each index were determined.
    Results The effective recovery rate of the two rounds of questionnaire was 100%, the expert authority coefficient was 0.84 and 0.89, and the Kendall harmony coefficient was 0.239 and 0.261. Finally, the index evaluation system of AP early liquid resuscitation included 3 primary indexes, 9 secondary indexes and 25 tertiary indexes.
    Conclusion The established AP early fluid resuscitation management evaluation system is scientific and practical, which can effectively evaluate the execution quality of AP early fluid resuscitation in hospitals, and can promote the continuous optimization of clinical nursing quality.

     

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