基于德尔菲法的普外科术后出血危险因素评估表的构建  

Establish of evaluation table for risk factors of postoperative bleeding in general surgery based on Delphi method

作　　者：吴哓哓 荀林娟 张慧敏[2] 赵庆 施雁[1] 陈静娟[1] 陈蓓敏[1] WU Xiaoxiao;XUN Linjuan;ZHNAG Huimin;ZHAO Qing;SHI Yan;CHEN Jingjuan;CHEN Beimin(The Tenth People′s Hospital of Tongji University,Shanghai 200072 China)

机构地区：[1]同济大学附属第十人民医院,200072 [2]南昌大学,330031

出　　处：《护理研究》2019年第13期2213-2216,共4页Chinese Nursing Research

基　　金：上海市科研计划项目,编号:16411951600

摘　　要：[目的]构建普外科术后出血风险评估表,为外科术后出血风险预警预控系统提供依据。[方法]通过查阅文献、相关书籍及术后出血的病例分析初步形成术后出血风险评估表,采用德尔菲法选取上海市5所三级甲等医院的40名专家进行两轮函询。[结果]两轮专家函询的积极系数均为100%;两轮函询的专家权威系数分别为0.891,0.906;专家意见协调系数分别为0.369,0.372(P<0.05),最终形成包括4个维度(术前基础情况、手术相关因素、术后合并症、其他因素)、21个条目的普外科术后出血风险评估表。[结论]经两轮专家咨询构建的普外科术后出血风险评估表科学、合理,能够为普外科术后出血的预防和评估提供可量化指标及预警预控系统奠定基础。Objective: To establish the evaluation scale on postoperative bleeding risk in general surgery,and to provide the basis for the warning and prevention system of postoperative bleeding risk. Methods: The risk assessment scale of postoperative bleeding was preliminarily formed through literatures review,relevant books and cases analysis of postoperative bleeding,and 40 experts from 5 tertiary grade A hospitals in Shanghai were selected for two rounds of consultation by Delphi method. Results: The positive coefficients of the two rounds of expert consultation were both 100%.The coefficient of expert authority in the two rounds of correspondence consultation was 0.891 and 0.906,respectively.The coordination coefficient of expert opinions was 0.369 and 0.372,respectively ( P <0.05).Finally the risk assessment scale of postoperative bleeding was formed,including of 4 dimensions (preoperative basic conditions,related surgical factors,postoperative complications,other factors) and 21 items. Conclusions: The risk assessment scale of postoperative hemorrhage which was constructed after two rounds of expert consultation is scientific and reasonable,which can lay a foundation for providing quantifiable indicators and early warning and control system on the prevention and evaluation of postoperative hemorrhage in general surgery.

关 键 词：术后出血 风险评估 德尔菲法 量化指标 普外科 风险因素 

分 类 号：R473.6[医药卫生—护理学]