股骨头坏死的机器人辅助护理质量评价体系构建  

Construction a quality evaluation system for robot-assisted nursing in osteonecrosis of the femoral head

作　　者：吴赞 王美玲 张媚 WU Zan;WANG Meiling;ZHANG Mei(Department of Orthopedics,Ankang Central Hospital,Ankang 725000,China;Department of Hand Surgery,Beijing Jishuitan hospital,Beijing 100035,China)

机构地区：[1]安康市中心医院骨科,陕西安康725000 [2]首都医科大学附属北京积水潭医院手外科,北京100035

出　　处：《机器人外科学杂志(中英文)》2025年第4期578-584,共7页Chinese Journal of Robotic Surgery

基　　金：北京市科委首都临床特色应用研究项目(Z171100001017132)。

摘　　要：目的:构建股骨头坏死的机器人辅助护理质量评价体系,填补临床机器人辅助护理质量评价的漏洞。方法:以参考文献作为依据,以两轮Delphi法进行专家函询,借助量表问卷,经专家权威论证、指标增删改、专家协调后构建完整的股骨头坏死的机器人辅助护理质量评价体系。结果:经过两轮函询,专家积极程度均为100%,专家权威系数(Cr)由0.744上升到0.840,结果均大于0.7,表明研究结果的可靠性。Kendall协和系数由0.245(P=0.091)上升到0.270(P=0.025),表明专家对评价指标由最先不一致性向一致性过渡。结论:通过两轮的Delphi法构建的股骨头坏死的机器人辅助护理质量评价体系,以Cr、变异系数(CV)等统计学分析为依据,有较高的科学性、可靠性及实用性。Objective:To establish a quality evaluation system for robot-assisted nursing in osteonecrosis of the femoral head(ONFH),aiming to plug the loophole in clinical quality assessment of robot-assisted nursing.Methods:Based on literature evidence,a two-round Delphi method was employed to conduct expert consultations.Utilizing scaled questionnaires,a preliminary robot-assisted nursing quality evaluation system for osteonecrosis of the femoral head was established.This system underwent expert authority validation,iterative indicator refinement(addition/deletion/modification),and consensus coordination to ensure comprehensiveness.Results:After two rounds of consultation,expert participation remained 100%.The expert authority coefficient(Cr)increased from 0.744 to 0.840(both>0.7),confirmed the reliability of the results.Kendall’s coefficient of concordance improved from 0.245(P=0.091)to 0.270(P=0.025),indicating a shift from initial inconsistency to consensus among experts on evaluation indicators.Conclusion:The robot-assisted nursing quality evaluation system for osteonecrosis of the femoral head,constructed through a two-round Delphi method,demonstrates high scientific validity,reliability,and clinical utility,as evidenced by expert authority coefficients,variation coefficients,and other statistical analyses.

关 键 词：机器人辅助护理 质量评价体系 DELPHI法 

分 类 号：R473.6[医药卫生—护理学]