Abstract:

Objective To construct a patient-centered evaluation index system for the quality of assisted reproduction specialty care and to conduct preliminary validation to provide a basis for the rational evaluation of the quality of assisted reproduction specialty care services and the standardized construction of service content. Methods Based on the Servqual model，through systematic literature search and combining with specialty characteristics，we constructed the first draft of the nursing quality evaluation index system for assisted reproduction specialties. 2 rounds of correspondence with 17 experts from 5 provinces were carried out to evaluate，screen and revise the evaluation index system by applying the Delphi method from July to August 2024，and 40 nurses specializing in assisted reproduction were selected in Jiangsu Province in June 2025 for the preliminary validation of the application of the index system. Results The recovery rates of the questionnaires for the 2 rounds of expert correspondence were 94.44% and 100%，respectively；the expert authority coefficients were 0.927 and 0.908，respectively；the coefficients of variation of the indicators were 0~0.24 and 0~0.18，respectively；the Kendall’s harmonization coefficients were 0.220 and 0.313. After 2 rounds of expert correspondence，the final evaluation index system of assisted reproduction specialty nursing quality was formed，which contained 5 primary indicators，17 secondary indicators，and 41 tertiary indicators. Assisted reproduction specialty nurses were generally satisfied with this evaluation index system，with a satisfaction questionnaire score of （23.75±2.02）. Conclusion The quality evaluation index system of assisted reproduction specialty care constructed based on Servqual model covers the key aspects of assisted reproduction care service，with reasonable content setting，standardized construction method，and strong scientificity，reliability，practicality and feasibility.

Key words: Assisted Reproduction, Servqual Model, Evaluation System, Delphi Method, Nursing Administration Research

摘要：

目的 构建以患者为中心的辅助生殖专科护理质量评价指标体系并进行初步验证，为合理评价辅助生殖专科护理质量及标准化建设服务内容提供依据。方法 基于Servqual模型，通过文献检索、小组讨论并结合专科特点，构建辅助生殖专科护理质量评价指标体系初稿；于2024年7—8月，对17名专家开展2轮函询以评价、筛选并修订评价指标体系，并于2025年6月选取江苏省的40名辅助生殖专科护士对该指标体系的应用效果进行初步验证。结果 2轮专家函询问卷的回收率分别为94.44%和100%；专家权威系数分别为0.927和0.908；指标的变异系数分别为0~0.24和0~0.18；肯德尔和谐系数分别为0.220和0.313。经过2轮专家函询，最终形成包含5项一级指标、17项二级指标、41项三级指标的辅助生殖专科护理质量评价指标体系。辅助生殖专科护士对该评价指标体系普遍满意，满意度问卷得分为（23.75±2.02）分。结论 基于Servqual模型构建的辅助生殖专科护理质量评价指标体系涵盖了辅助生殖护理服务的重点环节，内容设置合理，构建方法规范，具有较强的科学性、可靠性、实用性及可行性。

关键词: 辅助生殖, Servqual模型, 评价体系, 德尔菲法, 护理管理研究