Table 2.
Indicators for assessing the quality of nursing care in interventional therapy for IA.
| Indicators | Full score rate (%) |
Score of the importance (points, ± s) | Coefficient of variation (CV) | Weight | Collective weight |
|---|---|---|---|---|---|
| Structure indicators | 88.0 | 4.88 ± 0.33 | 0.068 | 0.330 | 0.330 |
| I-1 Human resources | 84.0 | 4.84 ± 0.37 | 0.077 | 0.334 | 0.055 |
| I-1-1 Nurse-to-patient ratio | 92.0 | 4.92 ± 0.28 | 0.056 | 0.508 | 0.028 |
| I-1-2 Composition ratio of the proficiency levels of nurses | 80.0 | 4.76 ± 0.52 | 0.110 | 0.492 | 0.027 |
| I-2 Environmental facilities | 68.0 | 4.64 ± 0.57 | 0.123 | 0.320 | 0.083 |
| I-2-1 Compliance rate of ward environment management | 64.0 | 4.64 ± 0.49 | 0.106 | 0.317 | 0.026 |
| I-2-2 Adequacy rate of emergency medications | 100.0 | 5.00 | 0.000 | 0.342 | 0.028 |
| I-2-3 Adequacy rate of specialized instruments/equipment | 100.0 | 5.00 | 0.000 | 0.342 | 0.028 |
| I-3 Education and training | 100.0 | 5.00 | 0.000 | 0.345 | 0.118 |
| I-3-1 Implementation rate of training program for interventional therapy nursing in IA | 92.0 | 4.92 ± 0.28 | 0.056 | 0.330 | 0.028 |
| I-3-2 Coverage rate of training content for interventional therapy nursing in IA | 100.0 | 5.00 | 0.000 | 0.335 | 0.028 |
| I-3-3 Pass rate of nurse training assessment | 100.0 | 5.00 | 0.000 | 0.335 | 0.028 |
| II Process indicators | 100.0 | 5.00 | 0.000 | 0.338 | 0.338 |
| II-1 Specialized nursing assessment | 100.0 | 5.00 | 0.000 | 0.201 | 0.169 |
| II-1-1 Accuracy rate of consciousness assessment [Glasgow Coma Scale (GCS) Score] | 100.0 | 5.00 | 0.000 | 0.167 | 0.028 |
| II-1-2 Accuracy of pupil assessment | 100.0 | 5.00 | 0.000 | 0.167 | 0.028 |
| II-1-3 Accuracy rate of vital sign monitoring | 96.0 | 4.96 ± 0.20 | 0.040 | 0.166 | 0.028 |
| II-1-4 Accuracy rate of muscle strength assessment | 96.0 | 4.96 ± 0.20 | 0.040 | 0.166 | 0.028 |
| II-1-5 Completion rate of IA severity (Hunt-Hess) assessment | 100.0 | 4.96 ± 0.20 | 0.040 | 0.166 | 0.028 |
| II-1-6 Completion rate of focal neurological dysfunction assessment (Language, swallowing, vision, etc.) | 100.0 | 5.00 | 0.000 | 0.167 | 0.028 |
| II-2 Specialized nursing interventions | 100.0 | 5.00 | 0.000 | 0.201 | 0.280 |
| II-2-1 Implementation rate of position management standards for IA patients | 92.0 | 4.92 ± 0.28 | 0.056 | 0.099 | 0.028 |
| II-2-2 Implementation rate of standardized airway safety management measures | 100.0 | 5.00 | 0.000 | 0.101 | 0.028 |
| II-2-3 Implementation rate of target blood pressure management standards | 100.0 | 5.00 | 0.000 | 0.101 | 0.028 |
| II-2-4 Implementation rate of volume management standards | 92.0 | 4.92 ± 0.28 | 0.056 | 0.099 | 0.028 |
| II-2-5 Implementation rate of special medication usage standards | 96.0 | 4.96 ± 0.20 | 0.040 | 0.100 | 0.028 |
| II-2-6 Implementation rate of preoperative preparation standards for interventional therapy for IA | 100.0 | 5.00 | 0.000 | 0.101 | 0.028 |
| II-2-7 Implementation rate of standardized nursing care measures in puncture sites | 100.0 | 5.00 | 0.000 | 0.101 | 0.028 |
| II-2-8 Implementation rate of hydration therapy standards after contrast agent use | 88.0 | 4.88 ± 0.33 | 0.068 | 0.099 | 0.028 |
| II-2-9 Implementation rate of standardized catheter care measures | 96.0 | 4.92 ± 0.40 | 0.081 | 0.099 | 0.028 |
| II-2-10 Implementation rate of standardized handling measures for abnormal laboratory indicator (blood biochemistry, blood coagulation, etc.) | 92.0 | 4.88 ± 0.44 | 0.090 | 0.099 | 0.028 |
| II-3 Nursing of common symptoms and signs | 96.0 | 4.96 ± 0.20 | 0.040 | 0.199 | 0.139 |
| II-3-1 Implementation rate of nursing standards for pain (headache, posterior neck pain) | 96.0 | 4.96 ± 0.20 | 0.040 | 0.202 | 0.028 |
| II-3-2 Implementation rate of nursing standards for vomiting/aspiration | 96.0 | 4.96 ± 0.20 | 0.040 | 0.202 | 0.028 |
| II-3-3 Implementation rate of standardized nursing measures for preventing constipation | 84.0 | 4.84 ± 0.37 | 0.077 | 0.197 | 0.027 |
| II-3-4 Implementation rate of standardized temperature control measures for fever patients | 92.0 | 4.92 ± 0.28 | 0.056 | 0.200 | 0.028 |
| II-3-5 Implementation rate of nursing measures for limb function exercise | 88.0 | 4.88 ± 0.33 | 0.068 | 0.199 | 0.028 |
| II-4 Observation and management of complications | 100.0 | 5.00 | 0.000 | 0.201 | 0.056 |
| II-4-1 Implementation rate of standardized preventive measures for complications in patients with IA (rebleeding subsequent to rupture, cerebrovascular spasm, cerebral ischemia related to interventional therapy, etc.) | 96.0 | 4.96 ± 0.20 | 0.040 | 0.498 | 0.028 |
| II-4-2 Implementation rate of standardized prevention measures for venous thromboembolism (VTE) | 100.0 | 5.00 | 0.000 | 0.502 | 0.028 |
| II-5 Health education | 92.0 | 4.92 ± 0.28 | 0.056 | 0.198 | 0.089 |
| II-5-1 Rate of patients aware of healthcare points relevant to the prevention of rupture and bleeding of IA | 100.0 | 5.00 | 0.000 | 0.508 | 0.028 |
| II-5-2 Rate of patients aware of healthcare points for discharge and follow-ups | 84.0 | 4.84 ± 0.37 | 0.077 | 0.492 | 0.027 |
| III Outcome indicators | 92.0 | 4.92 ± 0.28 | 0.056 | 0.332 | 0.332 |
| III-1 Patient outcome indicators | 92.0 | 4.92 ± 0.28 | 0.056 | 0.506 | 0.053 |
| III-1-1 Incidence rate of complications associated with IA (such as rebleeding subsequent to rupture, cerebrovascular spasm, cerebral ischemia related to interventional therapy, and complications of local puncture in artery) | 88.0 | 4.88 ± 0.33 | 0.068 | 0.524 | 0.028 |
| III-1-2 Average length of hospital stay | 60.0 | 4.44 ± 0.82 | 0.185 | 0.476 | 0.025 |
| III-2 Patient satisfaction rate | 80.0 | 4.8 ± 0.41 | 0.085 | 0.494 | 0.026 |
| III-2-1 Satisfaction rate of patients (or their family members) with nursing care | 76.0 | 4.68 ± 0.69 | 0.148 | 1.000 | 0.026 |