肝脏切除术后重度并发症风险评估指标的构建

Construction of Risk Assessment Indicators for Severe Complications after Hepatectomy

目的构建肝切除术后重度并发症风险评估指标,为临床护士筛选高危人群提供参考。方法采用文献分析界定肝切除术后重度并发症,通过专家小组会议拟定初稿;采用德尔菲专家咨询法对各项指标重要性及可行性进行评价。结果有效回收率为100%,2轮专家权威系数分别为0.88与0.91,一、二、三级指标重要性赋值均分别为(4.36±0.27)、(4.62±0.24)和(4.23±0.22)分,各级指标的变异系数范围分别为0.11~0.14、0.05~0.14和0.09~0.24。该指标具有较好的权威性及协调一致性,包含3项一级指标、8项二级指标和22项三级指标。结论肝脏切除术后三项重度并发症风险评估指标构建过程科学,实施便捷,能够为临床护士评估提供一定依据。

Objective To establish risk assessment indicators for severe complications after hepatectomy,and to provide reference for clinical nurses to screen the high-risk population.Methods The severe complications after hepatectomy were defined through literature analysis,and the first draft was completed by expert group discussion.Delphi expert consultation was employed to evaluate the importance and feasibility of each indicator.Results The effective recovery rate was 100%.The expert authority coefficients were 0.88 and 0.91 respectively.The importance values of the first,second and third indexes were(4.36±0.27),(4.62±0.24)and(4.23±0.22),respectively.The variation coefficients of each index ranged from 0.11 to 0.14,0.05 to 0.14 and 0.09 to 0.24,respectively.The index has shown good authority and consistency,including 3 first-level indexes,8 second-level indexes and 22 third-level indexes.Conclusion The construction process of risk assessment indicators for three severe complications after hepatectomy is scientific and convenient,which can provide a basis for evaluation by clinical nurses to some extent.