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目的:以奥马哈问题分类系统为研究框架,护理结局分类系统为理论基础,构建永久性肠造口患者的护理敏感性结局指标体系。方法:采用德尔菲(Delphi)法对27名资深专家完成3轮有效函询,获得专家一致性意见,确立永久性肠造口患者护理敏感性结局指标。结果:3轮函询问卷有效回收率分别为96.6%、100.0%、96.4%,专家权威系数分别为0.895、0.899、0.909,一、二、三级指标协调系数分别为0.340、0.379、0.402,具有统计学意义(P<0.01),最终构建的永久性肠造口患者护理敏感性结局指标体系包含4个领域、10个一级指标、21个二级指标,69个三级指标,各级指标选择意见逐步趋同。结论:建立的永久性肠造口患者护理敏感性结局指标体系可为护理人员构建有针对性的延续护理模式提供理论依据。
OBJECTIVE: To establish the index system of nursing sensitivity outcome for patients with permanent enterostomy based on the Omaha classification system as the research frame and the nursing outcome classification system as the theoretical basis. Methods: Using Delphi method, 27 senior experts completed three rounds of effective inquiry, obtained the consensus of experts and established the nursing sensitivity index of patients with permanent enterostoma. Results: The effective recall rates of the three questionnaires were 96.6%, 100.0% and 96.4% respectively. The experts’ authoritative coefficients were 0.895, 0.899 and 0.909 respectively. The coordination coefficients of the first, second and third levels were 0.340, 0.379 and 0.402, respectively. Statistical significance (P <0.01). Finally, the index system of nursing sensitivity outcome in patients with permanent enterostoma contains 4 fields, 10 first-level indicators, 21 second-level indicators, 69 third-level indicators and all levels of indicators Choose opinions gradually converge. Conclusion: The established index system of nursing sensitivity outcome for patients with permanent enterostoma can provide a theoretical basis for nursing staff to construct a targeted continuum nursing model.