关键词: An evaluation index system Delphi survey technique Kidney transplant recipients Omaha system Transitional care

Mesh : Delphi Technique Humans Kidney Transplantation Quality of Life Transitional Care

来  源:   DOI:10.1186/s12911-021-01496-9   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
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.
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.
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.
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.
摘要:
先前的研究表明,过渡护理降低了并发症发生率和再入院率,并改善了肾移植患者的生活质量,然而,事实上,肾移植受者没有标准的评估指标,现有指标的科学性值得商榷。因此,这项研究的目的是构建评估指标体系,以评估肾脏移植受者的过渡期护理效果。
基于奥马哈系统,通过文献综述和半结构化访谈,初步制定了肾移植受者过渡期护理效果评价指标体系.对19名专家进行了两轮对应,并采用层次分析法(AHP)计算了所有指标的权重。
五个一级指标,16个二级指数,在初始评价指标体系中选择了48个三级指标。两轮专家咨询的权威系数为0.90,指标协调系数为0.24至0.34。
建立的肾移植受者过渡期护理效果评价指标体系科学可靠。此外,这将是一种潜在的方法,用于评估肾移植受者接受进一步检查后的过渡期护理的效果.
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