The establishment of three-dimensional structural mode-based nursing quality evaluation index system for the bleeding risk care in patients receiving catheter-directed thrombolysis
10.3969/j.issn.1008-794X.2025.09.018
- VernacularTitle:基于三维结构模式构建经导管接触性溶栓出血风险护理质量评价指标
- Author:
Yan LI
1
;
Jingping GE
;
Yuanyuan YIN
;
Juan HE
;
Ling MU
Author Information
1. 210006 江苏南京 南京医科大学附属南京医院(南京市第一医院)
- Keywords:
deep venous thrombosis of lower extremity;
catheter-directed thrombolysis;
bleeding risk;
quality of nursing care;
evaluation index
- From:
Journal of Interventional Radiology
2025;34(9):1010-1015
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish a three-dimensional(3-D)structural mode-based nursing quality evaluation index system for the bleeding risk care in patients with deep venous thrombosis(DVT)of lower extremity receiving catheter-directed thrombolysis(CDT),so as to provide a reference for the normalization and standardization of bleeding risk care.Methods Based on the 3-D structural mode,through literature review,clinical practice research and group discussion,the first draft of nursing quality evaluation index system for CDT bleeding risk care was formulated.Using Delphi method,two rounds of letter inquiry were conducted,and the index content and index weighting were determined.Results The nursing quality evaluation index system included 3 level-Ⅰ indicators,11 level-Ⅱ indicators and 58 level-Ⅲ indicators.Two rounds of expert consultation were conducted,with 30 questionnaires for each round.The valid recovery rate of the questionnaire was 100.00％,indicating that expert's enthusiasm was higher.In the first round of letter inquiry,28 experts(93.3％)submitted suggestions for modification,and in the second round of letter inquiry,15 experts(50.0％)submitted suggestions for draft modification.The level of expert authority was as follows:the basis coefficient of expert judgment(Ca)was 0.93,the coefficient of expert familiarity with items(Cs)was 0.90,and the authority coefficient was 0.92.The degree of expert opinion coordination assessed by Kendall's harmony coefficient(Kendall's W)was 0.18-0.26(P＜0.05),and the coefficient of variation of each dimension was less than 0.15.Conclusion The nursing quality evaluation index system established in this study is scientific,reliable and practical.It can provide certain useful reference for the evaluation of CDT bleeding risk care quality.
