【摘要】 目的:构建老年髋关节置换护理敏感质量指标体系，为老年髋关节置换质量管理提供科学、合理、客观、量化的评价依据。方法:基于Donabedian“结构-过程-结果”理论，运用约翰霍普金斯护理循证模型进行证据总结，以文献证据中指标为参考依据；采用半结构化访谈法拟订老年髋关节置换病人护理敏感质量指标体系大纲；通过2轮Delphi专家函询完善并改进指标，最终确定老年髋关节置换病人护理敏感质量指标体系。结果:构建了包含3项一级指标、12项二级指标、40项三级指标的老年髋关节置换病人护理敏感质量指标体系；2轮专家函询积极系数为88%和100%，权威系数为0.862和0.864，协调系数为0.443～0.509。结论:构建的老年髋关节置换护理敏感质量指标体系科学合理，具有临床实际可操作性，可促进病区护理管理质量的提升。更多还原

【Abstract】 Objective:To construct a nursing-sensitive quality index system for elderly hip replacement patients,and to provide a precise,scientific,reasonable and objective quantitative evaluation basis for the quality management of elderly hip replacement patients in wards.Methods:The Johns Hopkins nursing evidence-based model was used to summarize the evidence and lay the foundation for the construction of the nursing sensitive quality index system for elderly hip replacement patients. A scientific research group was established to formulate the outline of nursing sensitive quality index system for elderly hip replacement patients by using semi-structured interview method,through 2 rounds of Delphi expert correspondence to improve the indicators,and finally determine the nursing sensitive quality index system for elderly hip replacement patients. Results:A nursing-sensitive quality index system for elderly hip replacement patients was constructed,including 3 first-level indicators,12 second-level indicators,and 40 third-level indicators;the positive coefficients of the two rounds of expert correspondence were 88% and 100%,and the authoritative and coefficients are 0. 862 and 0. 864,and the coordination coefficient is 0. 443-0. 509. Conclusion:The constructed nursing sensitive quality index system for elderly hip replacement patients is scientific and reasonable,and has clinical practical operability,which is conducive to the quality improvement of nursing management in wards.更多还原