Abstract:

Objective To construct an evaluation index system for the perioperative nursing quality of patients with implanted brain-computer interfaces，providing a tool for systematic and quantitative assessment and monitoring of nursing care quality during this period. Methods Based on the “structure-process-outcome” three-dimensional quality evaluation model，this study employed literature review，the Delphi method，and the analytic hierarchy process to determine the content of perioperative nursing quality evaluation indicators for implanted brain-computer interfaces and to establish the weights of each indicator level. Results The effective recovery rates of the 2 rounds of questionnaire surveys were 93.75% and 100%，respectively. The expert authority coefficients were 0.920 and 0.923 respectively，and the Kendall’s coefficients of concordance were 0.149 and 0.117 respectively. Finally，an evaluation index system for the nursing quality of implantable brain-computer interface patients during the perioperative period was formed，which included 3 first-level indicators，12 second-level indicators，and 46 third-level indicators. Conclusion The nursing quality evaluation indicator system developed in this study demonstrates strong scientific validity，reliability，and specialty specificity，aligns with clinical practice，and can serve as a reference for objectively assessing the quality of perioperative nursing care for patients with implanted brain-computer interfaces.

Key words: Implantable Brain-Computer Interface, Perioperative Nursing, Nursing Quality, Delphi Method

摘要：

目的 构建植入式脑机接口患者围手术期护理质量评价指标体系，为系统、量化地评估和监测围手术期植入式脑机接口患者的护理质量提供工具。方法 以“结构-过程-结果”三维质量评价模型为理论依据，采用文献回顾、德尔菲法及层次分析法，确定植入式脑机接口围手术期护理质量评价指标的内容及各级指标权重。结果 2轮专家函询问卷的有效回收率分别为93.75%、100%，专家权威系数分别为0.920、0.923，肯德尔和谐系数分别为0.149、0.117。最终形成了包含3项一级指标、12项二级指标、46项三级指标的植入式脑机接口患者围手术期的护理质量评价指标体系。结论 该研究构建护理质量评价指标体系具有较强的科学性、可靠性和专科特异性，符合临床护理实践的需要，可为客观评价植入式脑机接口患者围手术期的护理质量提供参考。

关键词: 植入式脑机接口, 围手术期护理, 护理质量, 德尔菲法