The sensitivity outcome index system for home care of elderly liver transplant patients was developed based on the Omaha problem classification system.

IF 3.3 3区医学 Q2 MEDICAL INFORMATICS

BMC Medical Informatics and Decision Making Pub Date : 2024-07-25 DOI:10.1186/s12911-024-02617-w

Bin Wang, Xia Huang, Guofang Liu, Taohua Zheng, Hui Lin, Yue Qiao, Wenjuan Sun

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引用次数: 0

Abstract

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.

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根据奥马哈问题分类系统，制定了老年肝移植患者家庭护理的敏感性结果指标体系。

目的：基于奥马哈问题分类系统，建立老年肝移植患者家庭护理的敏感性结果指标体系：基于奥马哈问题分类系统，建立老年肝移植患者家庭护理的敏感性结果指标体系：方法：通过全面的文献综述和德尔菲法的严格应用，由 20 位专家组成的专家组完成了两轮有效的信件咨询，以获得专家的一致意见。在此基础上确定指标内容，并采用层次分析法确认各指标的权重。最终，我们建立了老年肝移植患者家庭护理的敏感性结果指标体系：两轮专家咨询问卷的有效回收率为 100%，提出意见的专家比例分别为 55%和 15%，专家积极性较高。经计算，专家权威系数分别为 0.904 和 0.905，表明专家权威性较高。在第二轮中，一级指标、二级指标和三级指标的 Kendall 协调系数分别确定为 0.419、0.418 和 0.394（P 结论：一级指标、二级指标和三级指标的 Kendall 协调系数分别为 0.419、0.418 和 0.394：老年肝移植患者居家护理敏感性结果指标体系可为护理人员构建精准的个体化连续护理模式提供理论依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Medical Informatics and Decision Making 医学-医学：信息

CiteScore

7.20

自引率

5.70%

发文量

297

审稿时长

1 months

期刊介绍： BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.