【摘要】 【目的】基于奥马哈问题分类系统(OCS)构建肝移植患者随访期护理问题评估体系，为临床护理人员的护理决策提供有据可循的依据。【方法】以OCS为理论框架，通过文献分析法、质性访谈、小组头脑风暴法讨论及德尔菲法构建该指标体系，拟定专家函询表，实施专家函询，并对专家意见进行收回及统计学分析。【结果】本研究共进行两轮函询，问卷回收及有效率均为100%。专家提出意见的比率分别为56.25%和25.00%。本研究两轮专家权威程度系数(Cr)分别为0.95、0.912。两轮专家协调程度一、二、三级指标分别为0.385、0.236、0.244(均P<0.05)和0.272、0.289、0.274(均P<0.05)。经过两轮专家函询，最终评估表各级指标数量一级(4项)、二级(21项)、三级(45项)。【结论】OCS评估肝移植患者随访护理问题评估体系具备科学性和可靠性，适用于肝移植患者的护理问题评估，为临床护理诊断和干预提供了有价值的参考依据。更多还原

【Abstract】 【Objective】To construct a follow-up nursing problem assessment system for liver transplant patients using the Omaha Classification System(OCS), so as to provide evidence-based support for clinical nurses’ nursing decision-making.【Methods】With OCS as the theoretical framework, the indicator system was constructed through literature analysis, qualitative interviews, group brainstorming, and the Delphi method. An expert consultation questionnaire was developed, expert consultation was conducted, and the expert opinions were collected and statistically analyzed. 【Results】A total of two rounds of consultation were conducted in this study, with a questionnaire recovery rate and effective rate of 100%. The rates of experts putting forward opinions were 56.25% and 25.00% respectively. The expert authority coefficients(Cr) in the two rounds were 0.95 and 0.912 respectively. The coordination coefficients of experts for the first, second, and third-level indicators in the two rounds were 0.385, 0.236, 0.244(all P<0.05) and 0.272, 0.289, 0.274(all P<0.05) respectively. After two rounds of expert consultation, the final assessment form had the following number of indicators at each level: the first level(4 items), the second level(21 items), and the third level(45 items). 【Conclusion】The follow-up nursing problem assessment system for liver transplant patients based on OCS is scientific and reliable. It is suitable for assessing the nursing problems of liver transplant patients and provides valuable reference for clinical nursing diagnosis and intervention.更多还原