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黄舒蓉, 张小珍, 何建珍, 刘珊, 蔡文智. 产褥期护理机构评价指标体系构建[J]. 中国公共卫生, 2017, 33(4): 647-651. DOI: 10.11847/zgggws2017-33-04-33
引用本文: 黄舒蓉, 张小珍, 何建珍, 刘珊, 蔡文智. 产褥期护理机构评价指标体系构建[J]. 中国公共卫生, 2017, 33(4): 647-651. DOI: 10.11847/zgggws2017-33-04-33
HUANG Shu-rong, ZHANG Xiao-zhen, HE Jian-zhen.et al, . Establishment of an evaluation indicator system for postpartum care institution with Delphi and analytic hierarchy process[J]. Chinese Journal of Public Health, 2017, 33(4): 647-651. DOI: 10.11847/zgggws2017-33-04-33
Citation: HUANG Shu-rong, ZHANG Xiao-zhen, HE Jian-zhen.et al, . Establishment of an evaluation indicator system for postpartum care institution with Delphi and analytic hierarchy process[J]. Chinese Journal of Public Health, 2017, 33(4): 647-651. DOI: 10.11847/zgggws2017-33-04-33

产褥期护理机构评价指标体系构建

Establishment of an evaluation indicator system for postpartum care institution with Delphi and analytic hierarchy process

  • 摘要: 目的 通过层次分析法(AHP)和德尔菲专家咨询法(Delphi)构建科学合理的产褥期护理机构(以下简称月子机构)评价指标体系,为月子机构评价提供可量化的依据。方法 选取产科护理、产科管理和机构管理专家共22名进行德尔菲专家咨询,确定各级评价指标,进一步应用层次分析法确定各级指标的权重值。结果 共进行2轮咨询,有效回收率分别为91.7%、90.9%,专家的权威系数为0.805~0.807,平均为0.806。2轮专家咨询的协调系数分别为0.172和0.200,差异有统计学意义(P<0.05)。最终确定了129个指标,其中包括5个一级指标,22个二级指标,102个三级指标。行政管理、环境配置与安全管理、卫生与清洁管理、饮食与营养管理、母婴照顾5个一级指标权重分别为0.09、0.23、0.14、0.14、0.39。结论 产后月子机构评价指标共129个条目,经检验,专家意见集中,结果科学、可靠,其中,母婴照顾是评价指标中的核心考察指标。

     

    Abstract: Objective To establish an evaluation indicator system for postpartum care institution with Delphi method and analytic hierarchy process (AHP) and to provide evidences for quantitative evaluation of the institutions.Methods We constructed a basic framework of the indicator system by literature learning and discussion of professors.Delphi method was used to determine various indicators by consulting 22 experts on obstetrical nursing,obstetrical management,and institution management; then AHP was adopted to identify the weight values of the indicators at all levels.Results The effective rate for the two rounds of consultation were 91.7% and 90.9%,respectively and the authority coefficient ranged from 0.805 to 0.807,with an average of 0.806.Coordination coefficients were 0.172 and 0.200 for the two rounds of expert consultation,with statistical significance (P<0.05).The established system contains 129 indicators with five first-class indicators,22 second-class indicators,and 102 third-class indicators.The index weight of the five first-class indicators (administration,environment configuration and security management,sanitation and clean management,diet and nutrition management,maternal and child care) were 0.09,0.23,0.14,0.14,and 0.39,respectively.Conclusion An indicator system,with 129 entries and key indexes for maternal and child care,was established for the evaluation of postpartum care institutions and the evaluation indicator system is valid as assessed by expert consultation.

     

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