居家安宁疗护服务质量评价指标体系的构建
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女,硕士在读,学生

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国家重点基础研究发展计划项目(2023YFC3605900,2023YFC3605905)


Development of quality evaluation framework of home-based hospice care
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    摘要:

    目的 为居家安宁疗护服务质量提供可靠的评价工具。方法 以结构-过程-结果三维质量模型为理论框架,通过文献分析、2轮专家函询构建居家安宁疗护服务质量评价指标体系,采用层次分析法确定各级指标权重。结果 2轮专家函询的有效问卷回收率均为100%,专家权威系数为0.944;最终形成的居家安宁疗护服务质量评价指标体系包括3个一级指标(支持保障、业务运行、效果评价,权重分别为0.280、0.423、0.297),7个二级指标(制度建设、资产配置、人力资源、生命关怀、照护赋能、服务效益、满意度),24个三级指标,一、二、三级指标的重要性得分分别为9.62~9.76、9.43~9.81、9.05~9.81;各级指标的一致性检验通过(均CR<0.1)。结论 构建的居家安宁疗护服务质量评价指标体系具有可靠性、科学性和实用性,可用于居家安宁疗护服务质量评价,促进居家安宁疗护服务的规范化、标准化。

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    Objective To develop a valid tool for evaluating quality of home-based hospice care. Method Based on Structure-Process-Outcome (SPO)quality model, the quality evaluation framework was developed through literature analysis and two rounds of Delphi expert consultation. The analytic hierarchy process (AHP) was applied to determine weights for indicators at all levels. Results Both consultation rounds achieved 100% valid questionnaire response rates, with an expert authority coefficient of 0.944. The final quality evaluation framework comprises 3 first-level indicators (support and guarantee, business operation, effect evaluation, with the weights being 0.280,0.423,and 0.297 respectively), 7 second-level indicators (system construction, asset allocation, human resources, life care, care empowerment, service efficiency, satisfaction), and 24 third-level indicators.The importance score ranges of the first-level, second-level, and third-level indicators were 9.62-9.76, 9.43-9.81, and 9.05-9.81 respectively,and the consistency test of each level of indicators has passed (all CR<0.1). Conclusion The established quality evaluation framework of home-based hospice care is reliable, scientific, and practical. It can be used as a valid tool to evaluate quality of hospice care services in residential settings, and promote the regularization and standardization of home-based hospice care services.

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粟伊穗,陈婷,吴梅利洋,龚亚辉,王丹露,陈慧平,何毅,陈茜,顾海峰,王晶鑫,曾铁英,蒋艳.居家安宁疗护服务质量评价指标体系的构建[J].护理学杂志,2026,41(10):12-17

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  • 收稿日期:2025-10-22
  • 最后修改日期:2026-01-12
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  • 在线发布日期: 2026-06-15