Construction of sensitive index for perioperative nursing quality in liver transplantation / 中国实用护理杂志

ABSTRACT

Objective To build a scientific, practical and sensitive index for liver transplantation perioperative nursing quality, and to provide reference for liver transplantation perioperative nursing evaluation and monitoring. Methods Based on the"structure-process-result"three dimensional quality evaluation model, the methods of literature review and evidence based analysis were adopted to summarize the sensitive index for perioperative nursing quality in liver transplantation, including name, connotation, calculation formula and data collection methods. The indicators were discussed and adjusted using Delphi method. Results Nineteen liver transplantation perioperative nursing quality sensitivity indexes were established, including the correct use of immunosuppressive agents, the qualified rate of transplanted liver function monitoring method, nutritional risk screening ration, incidence of low body temperature, etc. For the two rounds of questionnaire, the valid rate was 88.89％and 91.67％, the authority score was 0.88 and 0.89, coefficient of variation of the importance of index was 0.06-0.28. Conclusion The liver transplantation perioperative nursing quality sensitivity indexes based on Delphi method are scientific and practical,which could be applied to clinical utilization.