Construction of sensitive index system for nutritional screening and evaluation of nursing quality in maintenance hemodialysis patients
10.3760/cma.j.cn115682-20230210-00438
- VernacularTitle:维持性血液透析患者营养筛查与评估护理质量敏感指标体系的构建
- Author:
Yuping LI
1
;
Xin MENG
;
Junkai HU
;
Guihua WANG
;
Lin ZHANG
Author Information
1. 河南省人民医院血液净化中心，郑州 450000
- Keywords:
Dialysis;
Maintenance hemodialysis;
Nutritional screening;
Nutritional assessment;
Quality of nursing;
Sensitive index
- From:
Chinese Journal of Modern Nursing
2023;29(21):2879-2885
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish a scientific, sensitive and practical sensitive index system for nutritional screening and nursing quality evaluation of maintenance hemodialysis patients, so as to provide reference for objective evaluation of nutritional screening and nursing quality evaluation of MHD patients.Methods:Based on Donabedian three-dimensional quality structure theory of "structure-process-result", the first draft of the index system was constructed through literature review and semi-structured interview. From September to October 2022, a total of 20 clinical nursing and nursing management experts from the field of hemodialysis in 12 Class Ⅲ Grade A hospitals were selected for two rounds of expert letter consultation to revise and confirm the indicator system.Results:The positive coefficient of the two rounds of expert correspondence were 95.00% and 100.00%, the expert authority coefficient were 0.813 and 0.818, the Kendall's harmony coefficients were 0.121-0.257 (all P<0.05), and the coefficient of variation of each index was less than 0.30. After 2 rounds of expert letter consultation, the sensitive index system for nutritional screening and evaluation of nursing quality for maintenance hemodialysis patients was finally constructed, including 1 structural index, 7 process index and 2 outcome index. Conclusions:In this study, a sensitive index system of nutritional screening and evaluation of nursing quality for maintenance hemodialysis patients with 10 indicators is established, which was scientific, practical and specialized and could be used to standardize the nutritional screening and evaluation nursing work in blood purification centers and promote the continuous improvement of nursing quality.
