基于加速康复外科理念下达芬奇机器人肺叶切除术患者围手术期护理质量评价指标体系的构建

Development of a perioperative nursing quality evaluation indicator system for lobectomy patients with Da Vinci robotic under enhanced recovery after surgery

目的构建加速康复外科(ERAS)理念下达芬奇机器人肺叶切除术患者围手术期护理质量评价指标体系,旨在为临床评价快速康复护理质量提供参考。方法以三维质量结构模型为基础,以ERAS理念为理论依据,通过大量文献回顾和半结构式访谈初拟达芬奇机器人肺叶切除术患者围手术期护理质量评价指标体系咨询问卷,采用Delphi法对21名专家进行2轮函询,并对结果进行分析。结果2轮咨询问卷回收率均为100%,专家权威系数为0.839、0.901,协调系数分别为0.317、0.335。最终形成的指标体系包含3个一级指标、14个二级指标、52个三级指标。结论构建的达芬奇机器人肺叶切除术患者围手术期护理质量评价指标体系具有较高可靠性和实用性,可作为评价机器人手术患者快速康复护理质量的依据。

Objective To develop nursing quality evaluation indicator system for perioperative patients with Da Vinci robotic under enhanced recovery after surgery(ERAS),in order to provide references for clinical evaluation of nursing quality for lobectomy patients.Methods Based on the theory of structure-process-outcome quality model and ERAS,literature review,semi-structured interviews were adopted to determine nursing quality indicator system for perioperative patients.Delphi method was used in two rounds of consultation among 21 experts.Results The positive coefficient was 100%,authority coefficient was 0.839,0.901,and the coefficients of concordance were 0.317,0.335.The final indicator system consisted of 3 first-level indicators,14 second-level indicators,and 52 third-level indicators.Conclusion The nursing quality evaluation indicator system for lobectomy patients with Da Vinci robotic was scientific and reliable,which can provide scientific references for evaluating nursing quality for perioperative patients with Da Vinci robotic under ERAS.