严重创伤救治护理质量评价指标体系的构建及适用性分析

doi:10.3761/j.issn.2096-7446.2025.04.007

摘要/Abstract

摘要：

目的构建严重创伤救治护理质量评价指标，为全程创伤救治护理质量监测及控制提供评价依据。方法以“结构-过程-结果”三维质量评价模型为框架，基于文献分析、专家函询及层次分析法确定严重创伤救治护理质量评价指标内容及各指标权重。结果共纳入国家、省、市、县四级创伤救治体系各层级代表16所医院的20名医疗、护理、管理专家开展2轮函询，有效回收率分别为100%、95%；专家权威系数分别为0.897、0.911；变异系数为0.045~0.291和0.045~0.217，肯德尔和谐系数为0.273和0.206（P<0.001）。共形成54个严重创伤救治护理质量评价指标，其中结构指标19个、过程指标25个、结果指标10个。结论该研究构建的评价指标科学性、实用性较强，可为严重创伤救治护理质量控制提供客观、科学、有效的评价依据，为创伤数据库及以数据为导向的创伤救治质控体系建设提供数据支持。

关键词: 创伤, 创伤救治中心, 护理, 质量控制, 指标, 德尔菲法

Abstract:

Objective To construct nursing quality evaluation index system for severe trauma care and provide an evaluation basis for the monitoring and control of nursing quality in the whole process of trauma care. Methods Based on the frame work of the three-dimensional “structure-process-outcome” quality model，this study used literature review，Delphi method and analytic hierarchy to determine the content and the weight of indicators. Results A total of 20 medical，nursing and management experts from 16 hospitals at national，provincial，city and county trauma care systems were included，and two rounds of consultations were conducted. The effective recovery rates were 100% and 95%，respectively. The expert authority coefficients were 0.897 and 0.911，respectively. The variation coefficients of each item ranged from 0.045~0.291 and 0.045~0.217. The Kendall harmony coefficients were 0.273 and 0.206（P<0.001）. In this study，a total of 54 nursing quality indicators for severe trauma care were formed，including 19 structural indicators，25 process indicators and 10 result indicators. Conclusion The evaluation indicators are scientific and practical，which can provide objective，scientific and effective evaluation basis for the quality control of trauma care，and provide data support for the construction of trauma database and data-oriented trauma treatment quality control system.

Key words: Severe Trauma, Trauma Center, Nursing Care, Quality Control, Indicators, Delphi Method

陈慧娟, 黄伟, 刘月, 赵飞凡, 程晶, 孙丽冰. 严重创伤救治护理质量评价指标体系的构建及适用性分析[J]. 中华急危重症护理杂志, 2025, 6(4): 428-433.

CHEN Huijuan, HUANG Wei, LIU Yue, ZHAO Feifan, CHENG Jing, SUN Libing. Construction and applicability analysis of nursing quality evaluation index system of severe trauma care[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 428-433.

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