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目的 构建经导管主动脉瓣置换术围手术期护理质量评价指标，为护理管理者对其围手术期护理质量监测及评价提供标准、可量化的依据。方法 以“结构-过程-结果”三维质量评价模型为理论框架，基于文献分析法和小组讨论制订经导管主动脉瓣置换术围手术期护理质量评价指标初稿后，采用Delphi法及层次分析法确定护理质量评价指标体系及各指标权重，最后采用主观赋权法对三级指标进行赋值。结果 共开展了3轮专家函询，专家权威系数分别为0.884、0.880、0.880,肯德尔和谐系数分别为0.113、0.239、0.316(P<0.05)。最终构建的经导管主动脉瓣置换术围手术期护理质量评价指标体系，包括3个一级指标、9个二级指标、55个三级指标。结论 构建的经导管主动脉瓣置换术围手术期护理质量评价指标体系科学性和可靠性良好，可为经导管主动脉瓣置换术围手术期护理质量评价提供科学参考。
Abstract：Objective To establish an evaluation indicator system of perioperative nursing quality for transcatheter aortic valve replacement, and to provide a standard and quantifiable basis for nursing managers to monitor and evaluate perioperative nursing quality.Methods The study was conducted based on the three-dimensional quality model of Donabedian “structure-process-result”,the draft of perioperative nursing quality evaluation indicator of transcatheter aortic valve replacement was formulated by literature analysis and group discussions.Finally, the evaluation indicator system and the weight of each index were finally determined by Delphi method and analytic hierarchy process, and the subjective weighting method was used to assign values to the tertiary indicators.Results Three rounds of expert consultations were conducted, the expert authority coefficients were 0.884,0.880 and 0.880,Kendall's coefficient of concordance were 0.113,0.239 and 0.316(P<0.05).The final evaluation indicator system of perioperative nursing quality for transcatheter aortic valve replacement included 3 primary indicators, 9 secondary indicators and 55 tertiary indicators.Conclusion The evaluation indicator system of perioperative nursing quality for transcatheter aortic valve replacement is scientific and reliable, which can provide scientific reference for perioperative nursing quality evaluation of transcatheter aortic valve replacement.
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基本信息:
DOI：
中图分类号:R473.6
引用信息:
[1]王熙婷,曾超男,严晗等.经导管主动脉瓣置换术围手术期护理质量评价指标的构建[J].护理管理杂志,2025,25(07):591-597.
基金信息:
云南省教育厅科学研究基金项目(2024J0212); 云南省卫生健康委员会医学学科带头人培养计划(D-2024023)