Abstract:

Objective To establish a scientific and systematic quality evaluation system for the implementation of TCM nursing programs，and to provide references for promoting the standardized implementation and quality improvement of TCM nursing programs. Methods From October 2023 to December 2023，a research team was set up to form the first draft of the quality evaluation system for the implementation of TCM nursing programs based on the “structure-process-results” three-dimensional quality model，by combining literature research and focus group interviews，and the quality evaluation system for the implementation of TCM nursing programs was formulated by means of Delphi expert letter consultation and analytic hierarchy process. Results 2 rounds of professional consultations resulted in an excellent recovery rate of 100%；the expert authority coefficients were 0.853 and 0.958；the Kendall harmony coefficients of expert opinions were 0.151 and 0.152，respectively. Finally，the quality evaluation system of TCM nursing program implementation was determined，including 3 first-level indicators，including structure，process and result. There are 6 secondary indicators，including system management，implementation management，quality management，effect evaluation，safety evaluation，and satisfaction evaluation. There are 18 three-level indicators，including the implementation management system of TCM nursing program and regular optimization of TCM nursing program. Conclusion The quality evaluation system for the implementation of TCM nursing programs is scientific and reliable，but its practicability needs to be tested in clinical practice.

Key words: Structure-Process-Outcome, Traditional Chinese Medicine Nursing Program, Implementation Quality, Evaluation System, Delphi Technique, Nursing Administration Research

摘要：

目的 建立科学、系统的中医护理方案实施质量评价体系，为促进中医护理方案的规范实施和质量改进提供参考。 方法 2023年10月—12月，组建研究小组，根据“结构-过程-结果”三维质量模型，并结合文献研究、焦点团体访谈，形成中医护理方案实施质量评价体系初稿，采用德尔菲专家函询和层次分析法制订中医护理方案实施质量评价体系。 结果 2轮专家函询有效问卷回收率均为100%，专家权威系数分别为0.853、0.958，专家意见的肯德尔和谐系数分别为0.151、0.152。最终确定的中医护理方案实施质量评价体系包括结构、过程、结果3个一级指标；制度管理、实施管理、质量管理、效果评价、安全性评价、满意度评价等6个二级指标；中医护理方案实施管理制度、中医护理方案定期优化等18个三级指标。 结论 构建的中医护理方案实施质量评价体系具有科学性和可靠性，然其实用性尚需在临床实践中检验。

关键词: 结构-过程-结果, 中医护理方案, 实施质量, 评价体系, 德尔菲技术, 护理管理研究