| 白春兰,李作为,廖巧玲,王欢,王娅丽.四川省精神科封闭式病房护理质量评价指标体系的构建[J].四川精神卫生杂志,2025,(2):138-144.Bai Chunlan,Li Zuowei,Liao Qiaoling,Wang Huan,Wang Yali,Construction of nursing quality evaluation index system of psychiatric closed wards in Sichuan Province[J].SICHUAN MENTAL HEALTH,2025,(2):138-144 |
| 四川省精神科封闭式病房护理质量评价指标体系的构建 |
| Construction of nursing quality evaluation index system of psychiatric closed wards in Sichuan Province |
| 投稿时间：2024-09-16 |
| DOI：10.11886/scjsws20240916001 |
| 中文关键词: 精神科 封闭式病房 护理质量 评价指标 |
| 英文关键词:Psychiatry department Closed wards Nursing quality Evaluating indicators |
| 基金项目:四川省护理学会科研项目基金（项目名称：四川省精神科封闭式病房护理质量评价标准的构建，项目编号：H20004）；四川省医院协会医院管理科研专项资金项目（项目名称：降低老年精神病住院患者跌倒率多学科管理模式研究，项目编号：YG2323） |
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| 中文摘要: |
| 背景 四川省提供精神卫生服务的医疗机构多采用自制精神科封闭式病房护理质量评价指标，缺乏统一标准，权威性和同质性不足，不利于护理质量的统一评价和持续改进。目的 构建适用于四川省精神科封闭式病房护理质量评价的指标体系，为精神科封闭式病房的护理质量管理及评价提供参考。方法 根据生物-心理-社会的医学模式，以“要素-环节-终末”质量评价模式为理论基础，结合文献分析、研究小组讨论和临床经验，拟定精神科封闭式病房护理质量评价指标。通过两轮德尔菲专家函询，对精神科封闭式病房护理质量评价指标进行修正和完善。结果 两轮德尔菲专家函询问卷的回收率均为100%，专家权威系数分别为0.845和0.864，专家协调系数为0.119~0.210（P<0.01）。最终构建了包含3个一级指标、9个二级指标、46个三级指标的精神科封闭式病房护理质量评价指标体系。结论 基于德尔菲法构建的精神科封闭式病房护理质量评价指标体系可为此类病房的护理质量管理和评价提供参考。 |
| 英文摘要: |
| Background In Sichuan Province， most healthcare institutions providing mental health services have adopted self-developed evaluation indicators for the quality of nursing care in psychiatric closed wards， lacking unified standards. This results in insufficient authority and homogeneity， which is unfavorable for the standardized assessment and continuous improvement of nursing quality.Objective To construct a standardized evaluation indicator system for nursing quality of psychiatric closed wards in Sichuan Province， so as to provide references for nursing quality management and assessment.Methods Based on bio-psycho-social medical model and guided by "Structure-Process-Outcome" quality evaluation framework， preliminary evaluation indicators for nursing quality in psychiatric closed wards were developed through literature analysis， research team discussions and clinical experience. Through two rounds of Delphi expert consultation， the indicators were revised and finalized.Results The response rates for two rounds of Delphi expert consultation questionnaire were 100%. The expert authority coefficients were 0.845 and 0.864， respectively， and the Kendall's coordination coefficients ranged from 0.119 to 0.210 （P<0.01）. Ultimately， a nursing quality evaluation index system for psychiatric closed wards was established， comprising 3 first-level indicators， 9 second-level indicators and 46 third-level indicators.Conclusion The nursing quality evaluation indicators for psychiatric closed wards constructed based on the Delphi method can provide references for nursing quality management and evaluation in such wards. ［Funded by Research Project Fund of Sichuan Nursing Society （number， H20004）； Sichuan Hospital Association Hospital Management Research Special Fund （number， YG2323）］ |
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