【摘要】 目的 应用德尔菲法构建儿童支气管哮喘护理质量评价指标体系，为护理质量管理提供量化工具，促进儿童支气管哮喘护理质量的提高。方法 成立研究小组，通过文献研究、半结构访谈和专家会议等步骤拟订待选指标。选择30名来自全国各地的护理管理、儿科呼吸护理、儿科呼吸医疗专家参加函询。指标剔除标准：赋分均数<4分，或满分率<50%，或变异系数>0.25。专家积极系数通过问卷有效回收率体现，权威系数用判断依据系数和熟悉程度系数的平均值体现，所有专家对指标的协调程度用Kendall W协调系数体现。最后运用层次分析法计算各指标的权重系数。结果 28名专家有效完成2轮函询。首轮函询问卷有效回收率为93.3%；专家熟悉程度系数为0.82，判断依据系数为0.90，权威系数为0.86;Kendall W协调系数为0.34，一致性检验χ~2=526.94,P<0.01。第二轮函询问卷有效回收率为100.0%；专家熟悉程度系数为0.84，判断依据系数为0.94，专家权威系数为0.89;Kendall W协调系数为0.52，一致性检验χ~2=427.45,P<0.01。最终形成的儿童支气管哮喘护理质量评价指标体系包括一级指标3个，二级指标12个，三级指标43个。结论 本研究构建的儿童支气管哮喘护理质量评价指标体系，为该病的护理质量监管提供了科学、可靠的工具，有助于发现问题及整改，持续改进护理质量。更多还原

【Abstract】 Objective To establish the nursing quality evaluation index system for children with bronchial asthma by Delphi method.It can provide quantitative tools for the quality of care management and improve the quality of care for children with bronchial asthma.Methods The research group was established,and the indicators to be selected were formulated through literature review,semi-structured interviews and expert meetings.Selected 30 experts in nursing management,pediatric respiratory care and pediatric respiratory medicine from all over the country to participate in the consultation.Index elimination criteria:average score <4,or full score rate <50%,or coefficient of variation> 0.25.The expert positive coefficient was reflected by the effective recovery rate of the questionnaire,the authority coefficient was reflected by the average value of the judgment basis coefficient and the familiarity coefficient,and the coordination degree of all experts on the indicators was reflected by the Kendall W coordination coefficient.Finally,the AHP method is used to calculate the weight coefficient of each index.Results A total of 28 experts completed 2 rounds of correspondence effectively.The effective recovery rate of the first round of correspondence questionnaire was 93.3%;The coefficient of expert familiarity was 0.82,the coefficient of judging basis was 0.90,and the coefficient of authority was 0.86.Kendall W concordance coefficient was 0.34,χ~2=526.94,P<0.01.The effective recovery rate of the second round of correspondence questionnaire was 100.0%;The coefficient of expert familiarity was 0.84,the coefficient of judgment basis was 0.94,and the coefficient of expert authority was 0.89.Kendall W concordance coefficient was 0.52,χ~2=427.45,P<0.01.The final evaluation index system of children’s bronchial asthma care quality includes 3 primary indexes,12 secondary indexes and 43 tertiary indexes.Conclusions The quality evaluation index system of care for children with bronchial asthma established in this study provides a scientific and reliable tool for the care quality supervision of this disease,which is helpful to identify problems and rectify them,and continuously improve the quality of care.更多还原