Establishment of an evaluation index system of home care quality for caregivers of children aged 3 years and below with burns

Zhang Juan; Liu Xiaohui; Chai Xuejun; Ma Yuelan; Li Haifen; Ma Huizhen

doi:10.3760/cma.j.cn501225-20221125-00508

Volume 39 Issue 11

Nov. 2023

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2023 > 39(11): 1021-1029

Zhang J,Liu XH,Chai XJ,et al.Establishment of an evaluation index system of home care quality for caregivers of children aged 3 years and below with burns[J].Chin J Burns Wounds,2023,39(11):1021-1029.DOI: 10.3760/cma.j.cn501225-20221125-00508.

Citation:

PDF( 1054 KB)

Establishment of an evaluation index system of home care quality for caregivers of children aged 3 years and below with burns

doi: 10.3760/cma.j.cn501225-20221125-00508

1.
Department of Burns, Plastic Surgery, and Aesthetic Medicine, General Hospital of Ningxia Medical University, Yinchuan 750004, China
2.
School of Nursing, Ningxia Medical University, Yinchuan 750004, China

Funds:

Key Research and Development Project of Ningxia Hui Autonomous Region in 2021 2021BEG03052

Key Research and Development Project of Ningxia Hui Autonomous Region in 2022 2022BEG03094

More Information

Corresponding author: Ma Huizhen, Email: 13895380501@163.com
Received Date: 2022-11-25

Abstract

Abstract

Objective To establish an evaluation index system of home care quality for caregivers of children aged ≤3 years with burns. Methods The combined approach of qualitative and quantitative research was used, and the fundamental principles of constructing an index system was followed. From January to February 2022, through literature analysis, conducting a semi-structured interview on 6 female nurses aged 31 to 51 years who worked for more than 10 years in the Department of Burns, Plastic Surgery, and Aesthetic Medicine of General Hospital of Ningxia Medical University, as well as 15 caregivers (11 females and 4 males) of hospitalized children with burns aged 28 to 54 years who received professional training from nursing staff, a preliminary evaluation index system of home care quality for caregivers of children ≤3 years old with burns was established using Maslow's hierarchy of needs as theoretical guidance. From March to June 2022, the Delphi method was applied to conduct inquiry by correspondence with 15 experts in relevant fields who met the inclusion criteria and were employed in general hospitals, specialized hospitals, and universities in the Ningxia Hui Autonomous Region (with their general information being recorded), and the evaluation index system was established and the weights of indicators at all levels were determined by the analytic hierarchy process. The effective recovery ratio of the inquiry form was calculated to determine the level of enthusiasm of experts, the average authority coefficient of all indicators was calculated to determine the level of expert authority, the average importance assignment and full score ratio of all indicators were calculated to determine the concentration of expert opinions, and the average Kendall's harmony coefficients and mean coefficient of variation for all indicators were calculated to determine the degree of coordination of expert opinions. The Kendall's harmony coefficients for the first level indicators, the total second level indicators, and the total third level indicators in each round of correspondence inquiry were statistically analyzed with chi-square test. Results The preliminary evaluation index system of home care quality for caregivers of children ≤3 years old with burns included 5 first level indicators, 13 second level indicators, and 55 third level indicators. The majority of the 15 experts were women, aged 32-56 years, all with a bachelor's degree or above education background, intermediate or above professional titles, and worked for 14-31 years. The effective recovery ratios of the first and second rounds of inquiry forms were 1 (15/15) and 0.93 (14/15), respectively. The average authority coefficients of all indicators in the first and second rounds of correspondence inquiries were 0.87 and 0.90, respectively. The average importance assignment and average full score ratio of all indicators were 4.25 and 0.68 respectively in the first round of inquiry, and 4.39 and 0.70 respectively in the second round of inquiry. In the first and second rounds of inquiries, the average Kendall's harmony coefficients for all indicators were 0.50 and 0.62, respectively, and the average coefficients of variation for all indicators were 0.15 and 0.14, respectively. The Kendall's harmony coefficients of the five first level indicators (physiological needs, safety needs, needs for love and belonging, needs for respect, and needs for self-realization), the total second level indicators, and the total third level indicators in the first and second rounds of correspondence inquiries were statistically significant (with χ ² values of 22.18, 20.36, 23.42, 25.81, 21.44, 124.73, 524.05 and 24.27, 19.85, 22.39, 27.52, 20.83, 102.38, 503.27, respectively, P<0.05). The final evaluation index system of home care quality for caregivers of children ≤3 years old with burns included 5 first level indicators, 13 second level indicators, and 56 third level indicators. The weights of the first level indicators for physiological needs, safety needs, needs for love and belonging, needs for respect, and needs for self-realization were 0.343, 0.371, 0.091, 0.076, and 0.127, respectively. The weights of the second level indicators were 0.024 to 0.192, and the weights of the third level indicators were 0.001 to 0.089. Conclusions The evaluation index system of home care quality for caregivers of children ≤3 years old with burns established on the basis of Maslow's hierarchy of needs theory is scientific and reliable, and can serve as a reference for home care of children with burns in this age group.
- Burns,
- Home nursing,
- Caregivers,
- Evaluation index,
- Maslow's hierarchy of needs theory

FullText(HTML)

References(23)

References

[1]	黄亨烨,于广军.婴幼儿早期神经发育评估诊断量表的综述[J].中国儿童保健杂志,2023,31(2):162-166.DOI: 10.11852/zgetbjzz2022-0627.
[2]	ChiY,YinH,ChenX,et al.Effect of precise partial scab removal on the repair of deep partial-thickness burn wounds in children: a retrospective study[J].Transl Pediatr,2021,10(11):3014-3022.DOI: 10.21037/tp-21-500.
[3]	HuangYK,SuYJ.Burn severity and long-term psychosocial adjustment after burn injury: the mediating role of body image dissatisfaction[J].Burns,2021,47(6):1373-1380.DOI: 10.1016/j.burns.2020.12.015.
[4]	蔡夺,贺婷婷,张丹丹,等.多学科团队制作手功能康复视频在烧伤患儿中的应用[J].护理学杂志,2021,36(6):101-104.DOI: 10.3870/j.issn.1001-4152.2021.06.101.
[5]	蔡立柏,刘延锦,郭玉茹,等.骨科康复护理质量评价指标的构建[J].中华护理杂志,2021,56(4):508-514.DOI: 10.3761/j.issn.0254-1769.2021.04.005.
[6]	卢芳燕,董丽,刘元,等.儿童肝移植围手术期护理质量评价指标体系的构建[J].中华护理杂志,2022,57(6):666-673.DOI: 10.3761/j.issn.0254-1769.2022.06.004.
[7]	BensonSG,DundisSP.Understanding and motivating health care employees: integrating Maslow's hierarchy of needs, training and technology[J].J Nurs Manag,2003,11(5):315-320.DOI: 10.1046/j.1365-2834.2003.00409.x.
[8]	冷虹瑶,王紫娟,应本娟,等.儿童慢性病延续性护理质量评价指标体系的构建[J].中国护理管理,2022,22(7):1049-1055.DOI: 10.3969/j.issn.1672-1756.2022.07.017.
[9]	姜小鹰,王丽霞.脑卒中照顾者压力量表中文版的测试研究[J].中国实用护理杂志,2006,22(34):1-2.DOI: 10.3760/cma.j.issn.1672-7088.2006.34.001.
[10]	吴明隆.问卷统计分析实务——SPSS操作与应用[M].重庆:重庆大学出版社,2010.
[11]	薛秀娟,代贝贝,毕建伟,等.重症血液净化护理质量评价指标体系的构建[J].中国实用护理杂志,2020,36(7):538-543.DOI: 10.3760/cma.j.issn.1672-7088.2020.07.012.
[12]	薛友儒,郭丙秀,邵慧慧,等.ICU机械通气患者早期活动护理质量敏感指标的构建[J].中华护理杂志,2020,55(1):16-21.DOI: 10.3761/j.issn.0254-1769.2020.01.002.
[13]	黄敏,黄厚强,熊爱兵,等.成年烧伤患者静脉血栓栓塞风险评估量表的研制与信效度检验[J].中华烧伤与创面修复杂志,2022,38(8):778-787.DOI: 10.3760/cma.j.cn501120-20210322-00098.
[14]	周静,张业玲,徐丽妃,等.鼻咽癌放疗患者专病护理质量评价指标体系的构建[J].护理学杂志,2020,35(7):31-33.DOI: 10.3870/j.issn.1001-4152.2020.07.031.
[15]	MaG,HouJ,PengS,et al.Construction of internet +home care quality supervision indicators in China based on the Delphi method[J].Risk Manag Healthc Policy,2022,15:1325-1341.DOI: 10.2147/RMHP.S368592.
[16]	徐桂灵,余碧艳.构建儿科护理质量评价体系的研究[J].护理管理杂志,2017,17(2):112-114.DOI: 10.3969/j.issn.1671-315X.2017.02.013.
[17]	汤勇,王良喜,陈俊杰,等.多中心严重烧伤住院患儿流行病学调查分析[J].中华烧伤杂志,2016,32(10):599-605.DOI: 10.3760/cma.j.issn.1009-2587.2016.10.006.
[18]	谢春晖,高欣欣,孟祥龙,等.应用序贯激光治疗烧伤患儿早期增生性瘢痕的效果分析[J].中华烧伤杂志,2021,37(4):327-332.DOI: 10.3760/cma.j.cn501120-20201214-00526.
[19]	高恒妙.烧伤患儿的能量需求及营养支持特点[J].中国小儿急救医学,2017,24(1):1-4.DOI: 10.3760/cma.j.issn.1673-4912.2017.01.001.
[20]	王秀玲,吴巍巍.烧伤患儿背景性疼痛管理的研究进展[J].中华现代护理杂志,2019,25(21):2768-2772.DOI: 10.3760/cma.j.issn.1674-2907.2019.21.029.
[21]	郑娟留守儿童居家安全保护研究长沙湖南师范大学 2016 DOI: 10.7666/d.Y3013730 郑娟.留守儿童居家安全保护研究[D].长沙:湖南师范大学,2016.DOI:10.7666/d.Y3013730.
[22]	宋均辉,夏正国,周贤良,等.家长依从性对烧伤患儿增生性瘢痕治疗效果的影响[J].中华烧伤杂志,2021,37(5):485-489.DOI: 10.3760/cma.j.cn501120-20210127-00038.
[23]	席毛毛,雷芳,谢卫国.烧伤患儿心理康复的研究进展[J].中华烧伤杂志,2020,36(6):519-522.DOI: 10.3760/cma.j.cn501120-20190308-00095.