老年肝移植患者居家护理敏感性结局指标体系基于奥马哈问题分类系统构建。
The sensitivity outcome index system for home care of elderly liver transplant patients was developed based on the Omaha problem classification system.
机构信息
The Affiliated Hospital of Qingdao University, Qingdao City, 266071, Shandong Province, China.
出版信息
BMC Med Inform Decis Mak. 2024 Jul 25;24(1):207. doi: 10.1186/s12911-024-02617-w.
OBJECTIVE
Based on the Omaha problem classification system, a sensitivity outcome index system for home nursing of elderly liver transplant patients was established.
METHODS
Through a comprehensive literature review and rigorous application of the Delphi method, a panel of 20 experts completed two rounds of effective letter consultation to obtain expert consensus opinions. The contents of indicators were determined based on this process, and the analytic hierarchy process was employed to confirm the weightage assigned to each indicator. Consequently, we established a sensitivity outcome index system for home care in elderly liver transplant patients.
RESULTS
The effective recovery rate of the questionnaire in two rounds of expert consultation was 100%, and the proportion of experts who gave opinions was 55% and 15%, respectively, indicating that the experts were highly active. The expert authority coefficients were calculated as 0.904 and 0.905, respectively, indicating a high degree of expert authority. In the second round, Kendall's coordination coefficients for primary, secondary, and tertiary indicators were determined to be 0.419, 0.418, and 0.394 (P < 0.001), indicating that expert opinions tended to be consistent. Finally, we established a comprehensive sensitivity outcome index system comprising 4 first-level indexes, 20 s-level indexes, and 72 third-level indexes specifically designed for elderly liver transplantation patients.
CONCLUSION
The sensitivity outcome index system of home nursing for elderly liver transplant patients can provide theoretical basis for nursing staff to build accurate individualized continuous nursing model.
目的
基于奥马哈问题分类系统，建立老年肝移植患者居家护理敏感性结局指标体系。
方法
通过全面文献回顾和德尔菲法的严格应用，由 20 名专家组成的专家组完成了两轮有效的信函咨询，以获得专家共识意见。根据这一过程确定指标的内容，并采用层次分析法确定每个指标的权重。由此建立老年肝移植患者居家护理敏感性结局指标体系。
结果
两轮专家咨询问卷的有效回收率均为 100%，两轮提出意见的专家比例分别为 55%和 15%，表明专家积极性较高。专家权威系数分别为 0.904 和 0.905，表明专家权威性较高。第二轮主要、次要和三级指标的 Kendall 协调系数分别为 0.419、0.418 和 0.394（P<0.001），表明专家意见趋于一致。最终，建立了一个包含 4 个一级指标、20 个二级指标和 72 个三级指标的综合性敏感性结局指标体系，专门针对老年肝移植患者。
结论
老年肝移植患者居家护理敏感性结局指标体系可为护理人员构建准确的个体化延续护理模式提供理论依据。
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