Abstract:

Objective To construct a standardized management scheme for traditional Chinese medicine nursing technology in Zhejiang Province，to further unify the names and classifications of traditional Chinese medicine nursing technology，to formulate technical classification principles and personnel qualification access conditions，and to promote the homogeneous management and quality improvement of traditional Chinese medicine nursing technology. Methods From August 2020 to March 2022，a research group was set up，and the first draft of the standardized management scheme of traditional Chinese medicine nursing technology in Zhejiang Province was formed with the combination with literature research and investigation results. The scheme was formulated by Delphi expert consultation and expert discussions，and it was validated by technology graded predictive models. Results A total of 35 experts were consulted by the Delphi method，and the effective recovery rate of the questionnaire was 100%；the expert familiarity coefficient Cs was 0.917；the judgment coefficient Ca was 0.909，and the expert authority coefficient Cr was 0.913. There are 80 items in 11 categories，and a technical grading principle has been formulated including 3 dimensions，namely safety，difficulty in learning and mastering，and difficulty in operating methods. 2 prediction models were constructed according to the technical grading influencing variables and the ROC curve was drawn，and the area under the ROC curve was obtained as 0.904. In the end，a total of 56 items of 8 categories of Chinese medicine nursing technology in Zhejiang Province were determined through the expert discussion meeting，and the qualification access conditions of Chinese medicine nursing technology personnel were formulated according to the grading principle. Conclusion The standardized management scheme of traditional Chinese medicine nursing technology has a high scientific nature，which provides a guarantee for the quality of clinical practice of traditional Chinese medicine nursing，and at the same time helps to promote the development of traditional Chinese medicine nursing.

Key words: Traditional Chinese Medicine Nursing, Standardized Management, Nursing Administration Research, Scheme Construction

摘要：

目的 构建浙江省中医护理技术规范化管理方案，进一步统一中医护理技术名称和分类，制订技术分级原则和人员资质准入标准，促进中医护理技术同质化管理和质量改进。方法 2020年8月—2022年3月，组建研究小组并结合文献研究、现状调查结果形成浙江省中医护理技术规范化管理方案初稿，采用德尔菲专家函询和专家论证等方法制订浙江省中医护理技术规范化管理方案并通过技术分级预测模型进行验证。 结果 德尔菲法共函询35名专家，问卷有效回收率为100%；专家熟悉程度系数为0.917，判断系数为0.909，专家权威程度系数为0.913，函询结束后中医护理技术归纳为11类，80项，并制订3个维度的技术分级原则。根据技术分级影响变量构建2项预测模型并绘制受试者操作特征曲线，得出受试者操作特征曲线下面积为0.904。通过专家论证会，最终确定为8类，56项，包括中医护理技术名称、类别和级别，并制订中医护理技术的人员资质准入标准。 结论 构建的中医护理技术规范化管理方案具有较高的科学性，为中医护理临床实践的质量提供保障，同时有助于推动中医护理学科发展。

关键词: 中医护理学, 规范化管理, 护理管理研究, 方案构建