手术切口感染风险评估工具框架的初步构建

Preliminary construction of risk assessment tool framework for surgical wound infection

目的构建手术切口感染风险评估工具的基本框架。方法通过专家访谈,查阅国内外相关文献及依据最新手术切口感染指南的基础上建立评估体系,经两轮Delphi专家咨询对评估条目进行拟定、筛选、修改,建立初始量表。结果两轮专家咨询的积极系数分别为84%、100%;专家个人权威系数均>75%,专家全体权威系数为0.86;两轮专家意见的肯德尔和谐系数(W)分别为0.450和0.441,均具有统计学意义(P<0.05);两轮专家文字建议分别为26条和5条,最终确立的评估体系指标包括4个一级指标、10个二级指标、27个三级指标。结论初步建立手术切口感染风险评估工具框架,为有效测评患者术后切口感染的风险提供科学依据。

Objective To construct a risk assessment tool framework for surgical wound infection(SWI).Methods The assessment system was constructed by referring to expert interviews,relevant domestic and foreign literatures,and the latest SWI guidelines.After two rounds of Delphi expert consultation,the assessment items were drawn up,selected and modified,and the initial scale was established.Results The positive coefficients of two rounds of expert Delphi methods were 84%and 100%respectively;expert personal authority coefficient were both>75%,the all expert authority coefficient was 0.86;two rounds of Kendall’s W coefficients were 0.450 and 0.441 respectively(all P<0.05).The recommendations of two rounds of experts were 26 and 5 items respectively.The final assessment system indexes included 4 first-level indicators,10 second-level indicators,and 27 third-level indicators.Conclusion The risk assessment tool framework for SWI is preliminarily established,which can provide a scientific basis for the effective evaluation of the risk of postoperative SWI.