Construction of a postoperative pain management quality evaluation index system
10.3760/cma.j.cn115682-20190826-03055
- VernacularTitle:术后疼痛管理质量评价指标体系的构建
- Author:
Jiajia CHEN
1
;
Yingge TONG
;
Miaomiao LIU
;
Xiaoyan LI
;
Yan CHENG
;
Ling CHAI
Author Information
1. 杭州师范大学医学院护理系 310036；浙江中医药大学附属第一医院手术室，杭州 310006
- Keywords:
Pain, postoperative;
Pain management;
Quality indexes;
Delphi method;
Donabedian theory
- From:
Chinese Journal of Modern Nursing
2020;26(14):1821-1827
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a postoperative pain management quality evaluation index system so as to provide an effective tool for postoperative pain management quality by hospital.Methods:From August 2017 to December 2018, original indexes were built based on Donabedian theory and literature research method, and primary indexes were constructed by group discussion. Delphi method was used to two rounds of consultation among 15 postoperative pain management experts to set up the final indexes, and index weight was defined with the analytic hierarchy process.Results:The postoperative pain management quality evaluation index system included 3 first-level indexes, 8 second-level indexes and 32 third-level indexes. The weights of 3 first-level indexes (structure, process and outcome) were 0.2, 0.4 and 0.4 respectively. Top 3 combined weights of second-level included the antalgic effect (0.266 7) , pain evaluation and re-evaluation (0.160 0) , antalgic therapy (0.160 0) . Top 3 combined weights of third-level included the incidence of moderate-severe active pain (0.143 9) , incidence of moderate-severe rest pain (0.079 2) and the sufficient rate of antalgic health education (0.073 0) . The Kendall coefficient of concordance of two rounds of expert consultation were 0.21 and 0.25 with statistical differences ( P<0.01) . Conclusions:The postoperative pain management quality evaluation index system the has all-round, scientific and reasonable content and can reflect the characteristics of multi-link and multidisciplinary cooperation of postoperative pain management which is worthy of clinical promotion.
