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体外膜氧合护理质量评价指标体系的构建

张梦宇 张倩倩 杜桂芳 冯建辉 刘林田 盛晓伟 张喜维

中国体外循环杂志2025,Vol.23Issue(4):340-344,5.
中国体外循环杂志2025,Vol.23Issue(4):340-344,5.DOI:10.13498/j.cnki.chin.j.ecc.2025.04.10

体外膜氧合护理质量评价指标体系的构建

Construction of an evaluation index system for extracorporeal membrane oxygenation nursing quality

张梦宇 1张倩倩 1杜桂芳 1冯建辉 1刘林田 1盛晓伟 1张喜维1

作者信息

  • 1. 100029 北京,首都医科大学附属北京安贞医院心脏外科危重症中心
  • 折叠

摘要

Abstract

Objective This study aims to develop an evaluation index system for extracorporeal membrane oxygenation(ECMO)nursing care quality,thereby providing guidance and establishing standards to enhance clinical practice and improve the quality of ECMO nursing care.Methods Utilizing the"Structure--Process-Outcome"quality framework,preliminary indices for evaluation were formulated via literature analysis and expert interviews.Subsequent refinement was achieved via two iterative rounds of Delphi expert consultations,where indices were critically evaluated,modified,and assigned weights reflecting their importance in ECMO nursing care.Results The expert engagement was quantitatively assessed via two iterative rounds,revealing high levels of expertise with familiarity coefficients(0.937 and 0.962),judgment coefficients(0.968 and 0.975),and authority of the expert opinions(0.952 and 0.968)across the consultations.Statistical significance in agreement was achieved with Kendall's W coefficients of 0.134 and 0.119(P<0.05).The finalized index system comprises three primary indexes,8 secondary indexes,and 47 tertiary indexes.Conclusion The study established a comprehensive index system for evaluating ECMO nursing quality,which supports improvements in clinical practice and patient care through a structured assessment framework.

关键词

体外膜氧合/护理质量/评价指标/德尔菲法/三维质量评价模型

Key words

Extracorporeal membrane oxygenation/Nursing quality/Evaluation index/Delphi method/Three-dimensional quality model

引用本文复制引用

张梦宇,张倩倩,杜桂芳,冯建辉,刘林田,盛晓伟,张喜维..体外膜氧合护理质量评价指标体系的构建[J].中国体外循环杂志,2025,23(4):340-344,5.

基金项目

中华医学会杂志社2023-2024护理学科研究课题(CMAPH-NRI2022054) (CMAPH-NRI2022054)

中国体外循环杂志

1672-1403

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