肿瘤外科术中急性压疮评价指标构建的研究

Study for the construct of evaluation indicators of acute pressure ulcer for patients with oncology surgery

目的建立肿瘤外科术中急性压疮评价指标体系。方法采用文献查询、临床调研、专家会议、小组讨论的方法,初拟肿瘤外科术中急性压疮评价指标的框架;采用德尔菲法进行指标的筛选和论证。结果两轮咨询表回收率分别是95%和100%;第一轮咨询后指标的改变为:保留19个,删除4个,增加3个,修改1个;第二轮咨询后删除六个条目,最终生成16个条目,重要性平均得分>3.0分、满分比>20%、变异系数≤0.25的指标达72.2%;两轮和谐系数分别为0.419和0.495。结论最终确定肿瘤外科术中急性压疮评价指标16个,专家积极程度、权威程度均较高,结果可取。

Objective To construct the evaluation indicators system of acute pressure ulcer for patients with on- cology surgery. Method Design the framework of the evaluation indicators system according to literature inquiry, clinical research, expert meetings and group discussion, then twenty experts were consulted by two rounds Delphi expert consultation. Result The recoveries rate of the two rounds of consultation form were 95% and 100%. The changing of the indicators after the first round expert consultation as following. 19 reserved, four deleted, three add- ed and one modified. Sixteen indicators were formed after the second round,There were 72.2% indicators met the requirement. The average score of importance was more than 3, full mark ratio was more than 20 %, the indicators with ≤ 0.25 coefficient of variation was 72.2%. The Kendall＇s coefficient of concordance were 0. 419 and 0. 495. Conclusion The final evaluation indicators of acute pressure ulcer for patients with oncology surgery were 16 items. Expert opinions had a good level of coordination and the desirable result.