颈动脉内膜剥脱术围手术期护理质量评价指标的构建

doi:10.3761/j.issn.0254-1769.2026.09.012

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (9): 1237-1244.DOI: 10.3761/j.issn.0254-1769.2026.09.012

颈动脉内膜剥脱术围手术期护理质量评价指标的构建

梁和静¹(), 许鹊², 史云霞³, 祖金美⁴, 黄文静⁵, 杨春旭¹, 郭明华¹, 王磊¹^,^*()

¹ 中国医学科学院北京协和医院血管外科北京市 100730
² 中国医学科学院北京协和医学院护理学院北京市 100144
³ 河南省人民医院血管外科郑州市 450003
⁴ 河北医科大学第一医院血管外科石家庄市 050023
⁵ 青岛大学附属医院血管外科青岛市 266000

收稿日期:2025-11-10 出版日期:2026-05-10 发布日期:2026-04-30
*通讯作者: 王磊，E-mail：wutongluo@sina.com
作者简介:梁和静：女，硕士，主管护师，E-mail：252402471@qq.com
第一联系人：作者贡献声明
梁和静：选题构思、文献检索及筛选、资料收集与分析、论文撰写及修改；许鹊：文献检索及筛选、统计分析；史云霞、祖金美、黄文静：指标拟订、论文审阅与修改；杨春旭、郭明华：指标拟订、资料收集；王磊：选题构思、研究指导、经费支持

Construction of nursing quality evaluation indicators in perioperative period of carotid endarterectomy

LIANG Hejing¹(), XU Que², SHI Yunxia³, ZU Jinmei⁴, HUANG Wenjing⁵, YANG Chunxu¹, GUO Minghua¹, WANG Lei¹^,^*()

¹ Department of Vascular Surgery， Peking Union Medical College Hospital，Chinese Academy of Medical Sciences， Beijing 100730， China
² School of Nursing， Chinese Academy of Medical Sciences & Peking Union Medical College， Beijing 100144， China
³ Department of Vascular Surgery， Henan Provincial People’s Hospital， Zhengzhou 450003， China
⁴ Department of Vascular Surgery， the First Hospital of Hebei Medical University， Shijiazhuang 050023， China
⁵ Department of Vascular Surgery， the Affiliated Hospital of Qingdao University， Qingdao 266000， China

Received:2025-11-10 Online:2026-05-10 Published:2026-04-30
* Corresponding author: WANG Lei，E-mail：wutongluo@sina.com

摘要/Abstract

摘要： 目的构建颈动脉内膜剥脱术（carotid endarterectomy，CEA）围手术期护理质量评价指标，为客观评价和持续改进CEA护理质量提供标准和量化依据。方法以“结构-过程-结果”三维质量模型为理论基础，采用文献分析、半结构式访谈、德尔菲法及层次分析法，确定CEA围手术期护理质量评价指标的内容及各指标权重。结果 2轮专家咨询的有效问卷回收率均为100%，专家权威系数分别为0.969和0.952，肯德尔和谐系数分别为0.160~0.202、0.173~0.244。最终构建的CEA围手术期护理质量评价指标体系包括3项一级指标、10项二级指标和31项三级指标。结论构建的CEA围手术期护理质量评价指标具有较高的科学性和可靠性，可用于临床护理质量的评估与监测，促进护理服务的标准化和精细化。

关键词: 颈动脉内膜剥脱术, 颈动脉狭窄, 质量评价研究, 护理管理研究

Abstract:

Objective To construct quality evaluation indicators for perioperative nursing in carotid endarterectomy（CEA），providing standards and quantitative basis for objectively evaluating and improving the nursing quality of CEA. Methods This study was conducted based on the framework of the three-dimensional “structure-process-outcome”quality model，using literature review，qualitative interview，Delphi method and analytic hierarchy to determine the content of the indicators，and the weight of each indicator. Results The effective recovery rates of 2 rounds of expert consultation questionnaires were 100%. The authority coefficients were 0.969 and 0.952. The Kendall harmony coefficients were 0.160-0.202 and 0.173-0.244. The final evaluation indicators for perioperative nursing quality in CEA included 3 first-level indicators，10 second-lever indicators and 31 third-level indicators. Conclusion The constructed CEA perioperative nursing quality evaluation indicators has high scientificity and reliability，and can be used for the assessment and monitoring of clinical nursing quality，promoting the standar-dization and refinement of nursing services.

Key words: Carotid Endarterectomy, Carotid Artery Stenosis, Quality Evaluation Research, Nursing Admi-nistration Research

梁和静, 许鹊, 史云霞, 祖金美, 黄文静, 杨春旭, 郭明华, 王磊. 颈动脉内膜剥脱术围手术期护理质量评价指标的构建[J]. 中华护理杂志, 2026, 61(9): 1237-1244.

LIANG Hejing, XU Que, SHI Yunxia, ZU Jinmei, HUANG Wenjing, YANG Chunxu, GUO Minghua, WANG Lei. Construction of nursing quality evaluation indicators in perioperative period of carotid endarterectomy[J]. Chinese Journal of Nursing, 2026, 61(9): 1237-1244.

图/表 2

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颈动脉内膜剥脱术围手术期护理质量评价指标的构建

Construction of nursing quality evaluation indicators in perioperative period of carotid endarterectomy

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