【摘要】 目的 构建血液病患者PICC相关性皮肤损伤风险评估指标体系，为PICC风险管理提供评估工具。方法 基于文献检索和多学科课题小组讨论，拟定PICC相关性皮肤损伤风险指标条目池。经过2轮专家函询，采用层次分析法确定指标权重。结果 2轮函询问卷回收率均为100%,专家权威系数为0.899、0.921,肯德尔协调系数为0.245、0.380(均P<0.05)。第2轮指标变异系数为0.04～0.24。构建的血液病住院患者PICC相关性皮肤损伤风险评估指标体系包含1级指标3个、2级指标15个和3级指标44个。结论 风险评估指标体系具有一定的可靠性、科学性，可用于血液病患者PICC相关性皮肤损伤风险评估及质量管理。更多还原

【Abstract】 Objective To construct a PICC related skin injury risk assessment index system for patients with hematological diseases, so as to provide an assessment tool for PICC risk management. Methods The item pool of PICC related skin injury risk index was formed based on literature review and multidisciplinary group discussion, then it was improved by conducting a two-round Delphi study, and the weights of the indexes were identified through hierarchical analysis. Results The response rates of the 2 rounds expert consultation were both 100%, the expert authority coefficients were 0.899 and 0.921, and the Kendall coordination coefficients were 0.245 and 0.380(both P<0.05). The variation of indicators in the second round consultation were 0.04-0.24. The final risk assessment index system of PICC related skin injury in patients with hematological diseases consisted of 3 first-level indicators, 15 second-level indicators, and 44 third-level indicators. Conclusion The constructed risk assessment index system is reliable and scientific, and it can be used for risk assessment and quality management of PICC related skin injury in patients with hematological diseases.更多还原