[1]李 燕,葛静萍,尹媛媛,等.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[J].介入放射学杂志,2025,34(09):1010-1015.[doi:10.3969/j.issn.1008-794X.2025.09.018]
 LI Yan,GE Jingping,YIN Yuanyuan,et al.The establishment of three-dimensional structural mode-based nursing quality evaluation index system for the bleeding risk care in patients receiving catheter-directed thrombolysis[J].J Intervent Med,2025,34(09):1010-1015.[doi:10.3969/j.issn.1008-794X.2025.09.018]
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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()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
34
期数:
2025年09
页码:
1010-1015
栏目:
护理论坛
出版日期:
2025-09-25

文章信息/Info

Title:
The establishment of three-dimensional structural mode-based nursing quality evaluation index system for the bleeding risk care in patients receiving catheter-directed thrombolysis
文章编号:
1008-794X(2025)-009-1010-06
作者:
李 燕 葛静萍 尹媛媛 何 娟 牟 凌
210006 江苏南京 南京医科大学附属南京医院(南京市第一医院)(李 燕,葛静萍,尹媛媛,何 娟),上海交通大学医学院附属第六人民医院(牟 凌)
Author(s):
LI YanGE JingpingYIN YuanyuanHE Juan.
Department of Vascular and Interventional Radiology,Affiliated Nanjing Hospital of Nanjing Medical University(Nanjing Municipal First Hospital),Nanjing,Jiangsu Province 210006,China
关键词:
下肢深静脉血栓形成 经导管接触性溶栓 出血风险 护理质量 评价指标
分类号:
R473
DOI:
10.3969/j.issn.1008-794X.2025.09.018
文献标志码:
A
摘要:
目的 构建下肢深静脉血栓形成(deep venous thrombosis,DVT)患者经导管接触性溶栓(catheter directed thrombolysis,CDT)出血风险护理质量评价指标,为CDT出血风险护理质量规范化和标准化提供评价工具。方法 以三维质量结构模式为基础,基于文献回顾、临床实践研究、小组反复讨论结果,形成CDT出血风险护理质量指标的初稿,通过2轮德尔菲法确定指标内容和权重。结果 护理质量评价指标共包含一级指标3个,二级指标11个,三级指标58个。2轮函询分别发放并回收问卷30份,问卷有效回收率为100.00%。专家积极性较高,第1轮函询有 28 名(93.3%)专家提出修改意见,第 2 轮函询有15名(50.0%)专家提出修改意见。专家权威程度:专家判断的依据系数(Ca)0.93,专家对条目熟悉度(Cs)0.90,专家权威系数(Cr)0.92。专家意见协调程度:肯德尔和谐系数(Kendall's W)0.18~0.26(P<0.05),各维度的变异系数均小于0.15。结论 构建的护理质量评价指标具有科学性、可靠性和实用性,可为CDT出血风险护理质量评价提供一定的参考依据。

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(收稿日期:2024-08-22)

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备注/Memo

备注/Memo:
基金项目: 南京市卫生科技发展专项资金项目(ZKX23033),南京市第一医院星火培育计划
通信作者: 牟 凌 E-mail:13818528678@163.com
更新日期/Last Update: 2025-09-25