基于零缺陷管理理论构建肝胆外科加速康复评价指标体系

Development of an index system for evaluating enhanced recovery after surgery program for hepatobiliary surgery based on the zero defect management theory

目的构建适用于肝胆外科的加速康复评价指标体系,为加速康复外科实施效果提供评价工具。方法在零缺陷管理理论基础上,通过文献查阅、德尔菲专家咨询法构建肝胆外科加速康复评价指标体系。结果 2轮问卷回收率均为100%,专家权威系数分别为0.920、0.919。经过2轮专家咨询,最终构建的肝胆外科加速康复评价指标体系包括3个一级指标,8个二级指标,39个三级指标;指标重要性评分均>4分,变异系数0～0.166;并确定各级指标权重。结论肝胆外科加速康复评价指标体系构建合理,有较好的可信度,经验证后可作为肝胆外科加速康复质量评价工具。

Objective To develop an evaluation index system for implementing enhanced recovery after surgery(ERAS) for hepatobiliary surgery. Methods Based on the zero defect management theory, literature review and expert consultation using the Delphi process were conducted to develop the index system.Results All questionnaires were returned by experts during two rounds of survey. The authority coefficient of experts was 0.920 at the first round and 0.919 at the second round. After two rounds of consultation, the index system was identified and included 3 first-level indexes, 8 second-level indexes, and 39 third-level indexes, with the significance of indexes scoring 4 points and the coefficients of variation being 0-0.166. Weights of indexes were also determined. Conclusion The index system is reasonably developed and has satisfactory credibility, so it can be used to assess ERAS quality for hepatobiliary surgery after validation.