构建评估肾移植受者过渡期护理效果的指标体系。
Construction of an index system for evaluating the effectiveness of transitional care in kidney transplant recipients.
机构信息
The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, People's Republic of China.
Department of Nosocomial Infection Management, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, People's Republic of China.
出版信息
BMC Med Inform Decis Mak. 2021 Apr 19;21(1):132. doi: 10.1186/s12911-021-01496-9.
BACKGROUND
Previous studies showed that transitional care reduces the complication rate and readmission rate and improves the quality of life in kidney transplant receipts, nevertheless, in fact there are no standard evaluation indexes and debatable scientific of existing indexes in kidney transplant recipients. Therefore, the aim of this study was to construct an evaluation index system to assess the effects of transitional care in kidney transplant recipients.
METHODS
Based on Omaha system, an initial evaluation index system about the effects of transitional care in kidney transplant recipients was drafted by the literature review and semi-structured interview. Two rounds of correspondence were conducted in 19 experts and the analytic hierarchy process (AHP) was used to calculate the weights of all indexes.
RESULTS
Five first-level indexes, sixteen second-level indexes, and forty-eight third-level indexes were selected in the initial evaluation index system. The authority coefficient of two-round expert consultations was 0.90 and coordination coefficients of indexes ranged from 0.24 to 0.34.
CONCLUSION
The established evaluation index system for the effectiveness of transitional care for kidney transplant recipients was scientific and reliable. Furthermore, it would be a potential method to evaluate effects of transitional care in kidney transplant recipients after further examination.
背景
先前的研究表明，过渡护理可降低肾移植受者的并发症发生率和再入院率，并提高其生活质量，但实际上，现有的肾移植受者过渡护理评估指标既没有标准，也缺乏科学依据，存在一定争议。因此，本研究旨在构建一种评估肾移植受者过渡护理效果的评价指标体系。
方法
本研究通过文献回顾和半结构式访谈，基于奥马哈系统初步拟定了肾移植受者过渡护理效果评价指标体系。对 19 名专家进行了两轮函询，并采用层次分析法（AHP）计算各指标的权重。
结果
初步构建的评价指标体系包括 5 个一级指标、16 个二级指标和 48 个三级指标。两轮专家咨询的权威系数分别为 0.90，指标的协调系数范围为 0.24～0.34。
结论
构建的肾移植受者过渡护理效果评价指标体系科学可靠，为进一步考察该体系在评价肾移植受者过渡护理效果中的应用价值提供了参考。
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