消化道恶性肿瘤术后早期活动风险评估指标体系的构建  

Construction of risk assessment index system for early ambulation after surgery for malignant tumor of digestive tract

作　　者：刘婷婷 陈敏 沈玲[2] Liu Tingting;Chen Min;Shen Ling(School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China;Department of General Surgery,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学护理学院,200025 [2]上海交通大学医学院附属新华医院普外科,上海200092

出　　处：《中华现代护理杂志》2020年第18期2465-2469,共5页Chinese Journal of Modern Nursing

基　　金：上海交通大学医学院附属新华医院护理亚专科建设项目(xhhlzkjs2018-08)。

摘　　要：目的构建消化道恶性肿瘤术后早期活动风险评估指标体系,并确立各级指标的权重。方法于2018年11月—2019年1月采用文献内容分析法结合头脑风暴法初步拟定指标条目,对16名专家采用德尔菲法进行2轮咨询,并应用层次分析法建立层次结构模型,构建判断矩阵,计算各指标权重并检验其逻辑一致性。结果2轮专家咨询问卷的有效回收率均为100%,专家群体权威系数为0.87,第1轮专家咨询各级指标的Kendall's W为0.180~0.375,第2轮Kendall's W为0.098~0.375。最终构建的指标体系包括2个一级指标(即患者相关因素、医源性相关因素),5个二级指标和15个三级指标。一级指标的权重值分别为0.7500、0.2500,二级指标权重为0.0500~0.5000,三级指标权重为0.0140~0.2467;各级指标的层次排序一致性CR<0.01,具有满意的一致性。结论构建的指标体系科学可靠,各指标权重合理,能为临床护理实践中消化道恶性肿瘤术后早期活动的风险评估提供内容依据和量化标准。Objective To build a risk assessment index system for early ambulation after surgery for malignant tumors of the digestive tract,and establish the weights of indicators at all levels.Methods From November 2018 to January 2019,the indexes were initially established using literature analysis combined with brainstorming,and two rounds of consultations by correspondence were conducted on 16 experts using the Delphi method.An analytic hierarchy process was used to establish a hierarchical structure model and a judgment matrix to calculate the weight of each index and check its logical consistency.Results The effective recovery rate of the two rounds of expert consultation questionnaires was 100%,and the authoritative coefficient of the expert group was 0.87.The Kendall's W of the indexes at all levels during the first round of expert consultation was 0.180-0.375,and that of the second round was 0.098-0.375.The index system finally constructed included 2 first-level indicators(patient-related factors and iatrogenic factors),5 second-level indicators and 15 third-level indicators.The weight values of the first-level indicators were 0.7500 and 0.2500,those of the second-level indicators were 0.0500-0.5000;and those of the third-level indicators were 0.0140-0.2467.The consistency of the ranking of indicators at all levels was CR<0.01,with satisfactory consistency.Conclusions The constructed index system is scientific and reliable,with reasonable weights of each index,which can provide the content basis and quantitative standards for the risk assessment of early postoperative ambulation for malignant tumors of the digestive tract in clinical nursing practice.

关 键 词：消化道恶性肿瘤 早期活动 指标 德尔菲法 层次分析法 

分 类 号：R473.73[医药卫生—护理学]