Abstract:

Objective To construct quality evaluation indicators for perioperative nursing in heart transplantation，and to provide standard and professional quantitative bases for monitoring and management of perioperative nursing quality. Methods This study was conducted based on the frame work of the three-dimensional “structure-process-outcome” quality model，using literature review，Delphi method and analytic hierarchy to determine the content of the indicators，and the weight of each index. Results A total of 22 experts from 14 qualified heart transplantation hospitals were included，and a total of 2 rounds of consultations were conducted. The effective recovery rates of 2 rounds of expert consultation questionnaires were 100%. The authority coefficients were 0.817. The variation coefficients of each item ranged from 0.025~0.169 and 0.039~0.157. The Kendall harmony coefficients were 0.126 and 0.225（P<0.001）. The final evaluation indicators for perioperative nursing quality in heart transplantation included 3 first-level indicators，12 second-lever indicators and 59 third-level indicators. Conclusion The evaluation indicators of perioperative nursing quality in heart transplantation was scientific，comprehensive and specialized，which can provide references for the evaluation of perioperative nursing quality in heart transplantation.

Key words: Heart, Organ Transplantation, Perioperative Nursing, Delphi Method, Quality Evaluation Research, Nursing Administration Research

摘要：

目的 构建心脏移植围手术期护理质量评价指标，为心脏移植护理质量监测及控制提供标准、量化的依据。 方法 以“结构-过程-结果”三维质量评价模型为基础，采用文献分析、德尔菲法及层次分析法，确定心脏移植围手术期护理质量评价指标的内容及各指标权重。 结果 共纳入14所具有心脏移植资质医院的22名专家，开展2轮函询，2轮函询问卷的有效回收率均为100%，专家权威系数为0.817，变异系数为0.025~0.169和0.039~0.157，肯德尔和谐系数为0.126和0.225（P<0.001）。形成的心脏移植围手术期护理质量评价指标包括一级指标3项、二级指标12项、三级指标59项。 结论 构建的心脏移植围手术期护理质量评价指标科学合理、内容全面、专科性强，可为心脏移植围手术期护理质量评价提供参考依据。

关键词: 心脏, 器官移植, 围手术期护理, 德尔菲法, 质量评价研究, 护理管理研究