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

作　　者：邵雪晴 邹志辉 李丽 叶志霞 SHAO Xueqing;ZOU Zhihui;LI Li;YE Zhixia(Department Six of Extrahepatic Surgery,Third Affiliated Hospital,Naval Medical University,Shanghai 201805;Nursing Department,Third Affiliated Hospital,Naval Medical University,Shanghai 201805)

机构地区：[1]海军军医大学第三附属医院肝外六科,上海201805 [2]海军军医大学第三附属医院护理处,上海201805

出　　处：《解放军医院管理杂志》2021年第12期1114-1116,共3页Hospital Administration Journal of Chinese People's Liberation Army

基　　金：上海市卫生健康委员会基金项目(201940067)。

摘　　要：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.

关 键 词：肝脏 术后 重度并发症 风险 

分 类 号：R197.32[医药卫生—卫生事业管理]