现代医药卫生2025，Vol.41Issue(6)：1372-1378,7.DOI:10.3969/j.issn.1009-5519.2025.06.018
基于Donabedian理论构建呼吸与危重症医学科HHFNC护理质量评价指标体系
To construct the nursing quality evaluation index system of HHFNC in respiratory and critical care medicine based on Donabedian theory
摘要
Abstract
Objective Based on Donabedian theory,to construct the nursing quality evaluation index system of Nasal high flow humidification oxygen therapy(HHFNC)in respiratory and critical care medicine(PCCM).Methods The BMJ,Cochrane Library,PubMed,EMbase,CNKI and Wanfang database were searched.According to Donabedian's theoretical framework,a draft of preliminary evaluation index was pre-pared through evidence-based research.Delphi method and Pecking Order Diagram method were used to deter-mine the evaluation index and its weight.Results A total of 10 articles were included,and 15 experts were se-lected.The authority coefficients of the two rounds of consultation were 0.906 and 0.902,respectively,which were greater than 0.80.The coefficient of variation of the first round of consultation ranged from 0.00 to 0.66,and the coefficient of variation of the second round of consultation ranged from 0.00 to 0.12,both of which were lower than 0.25,and the second round was lower than the first round.After two rounds of expert consultation,the coordination coefficient of the first-level index is greater than 0.3,and the coordination coef-ficient of the second-level index is greater than 0.4.There was a statistically significant difference in the Ken-dall coordination coefficient between the two rounds of consultation(P<0.001).Finally,a set of PCCM HHFNC nursing quality evaluation index system including 11 first-level indicators and 44 second-level indica-tors was established.Conclusion Based on Donabedian's theoretical framework and evidence-based research,the PCCM HHFNC nursing quality index system is scientific,comprehensive and practical.关键词
呼吸与危重症医学科/经鼻高流量湿化氧疗/护理质量/Donabedian理论/Delphi法Key words
Department of respiratory and critical care medicine/Nasal high flow humidification oxy-gen therapy/Nursing quality/Donabedian theory/Delphi method分类
医药卫生引用本文复制引用
杨健健,马小琴,颜喜梅..基于Donabedian理论构建呼吸与危重症医学科HHFNC护理质量评价指标体系[J].现代医药卫生,2025,41(6):1372-1378,7.基金项目
2023年度金华市科技计划项目(2023D55177). （2023D55177）
