Construction of transitional nursing model for patients with chronic diseases under hierarchical diagnosis and treatment system
10.3760/cma.j.cn115682-20200428-03080
- VernacularTitle:分级诊疗制度下慢性病患者过渡期护理模式构建
- Author:
Jiajia XU
1
;
Yanping ZHAI
;
Mei FENG
;
Aichun QIAO
Author Information
1. 山西白求恩医院（山西医学科学院）综合医疗科，太原 030032
- Keywords:
Chronic diseases;
Hierarchical diagnosis and treatment;
Transitional nursing;
Mode construction;
Delphi method
- From:
Chinese Journal of Modern Nursing
2020;26(33):4598-4606
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To stablish a transitional nursing model for patients with chronic diseases under the hierarchical diagnosis and treatment system and clarify the structure and functions, so as to provide a chronic disease management model with practical operation, promotion and reference.Methods:In April 2019, a research group was established. Based on a large amount of literature and policy analysis, guided by the three-dimensional quality theory model of structure-process-results, the transitional nursing model was constructed and the index system letter consultation questionnaire was initially prepared. After the preliminary survey, it was revised to form the first-round consultation questionnaire. Delphi method was used to conduct 2 rounds of letter consultation among 19 experts. The positive coefficient of experts, the authoritative coefficient of experts and Kendall 's coordination coefficient were calculated. Analytic hierarchy process (AHP) was used to determine the weight coefficient of each index and quantify the importance degree of the index. Results:The effective recovery rates of the two rounds of letter consultation questionnaires of expert were both 100%. The authoritative coefficients of experts were respectively 0.80 and 0.84, Kendall 's coordination coefficient was 0.137 to 0.253 ( P<0.001) , and the coefficients of variation were all less than 0.25. The index system for the transitional nursing model of patients with chronic diseases finally established included 6 first-level indicators, 38 second-level indicators and 32 third-level indicators of "transitional nursing procedures", and the structural and functional diagram was generated. Conclusions:The established transitional nursing model for patients with chronic diseases is scientifically reliable and comprehensive in content, which has practical significance for promoting the deep integration of mobile Internet and medical and health fields, guiding the subsidence of advantageous resources and promoting the implementation of hierarchical diagnosis and treatment.
