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目的:根据口腔科治疗过程构建患者护理安全质量评价指标。方法:通过文献检索法、专家小组讨论,拟定护理安全质量评价指标内容和定义,使用德尔菲(Delphi)专家函询法,筛选和修订指标,构建口腔门诊患者护理安全质量评价指标。结果:经过两轮函询,专家意见趋于一致。两轮问卷回收率均为100%,协调系数分别为0.237、0.258(P<0.01)。初步构建的口腔门诊患者护理安全质量评价指标包括5项一级指标,即围治疗期安全宣教执行率、防护措施执行情况、口腔软组织损伤发生率、误吞/误吸发生率、跌倒/坠椅发生率。结论:该评价指标具有较高的科学性、可靠性和可行性,为提高口腔门诊患者护理安全,改善护理行为提供客观、可量化的依据。
OBJECTIVE: To construct the nursing safety quality evaluation index according to the dentistry treatment process. Methods: Through the literature retrieval method and expert group discussion, the content and definition of nursing safety quality evaluation index were drawn up, and Delphi expert inquiry method was used to screen and revise the index to construct the evaluation index of nursing safety quality in oral clinic. Results: After two rounds of interviews, the opinions of experts tend to be consistent. The recovery rates of two questionnaires were 100% and the coordination coefficients were 0.237,0.258 (P <0.01). The initial evaluation index of quality of care and safety in oral clinic includes five first-level indicators: the implementation rate of safe mission during peri-treatment period, the implementation of protective measures, the incidence of oral soft tissue injury, incidence of swallowing / aspiration, fall / Occurrence rate. Conclusion: The evaluation index is highly scientific, reliable and feasible, and provides an objective and quantifiable basis for improving nursing care and improving nursing behavior in oral clinic patients.