【摘要】 目的：构建基于健康本源论的剖宫产术后再次妊娠阴道分娩(VBAC)家庭群组化管理方案，为提高VBAC成功率、改善母婴结局提供科学依据。方法：以健康本源论为理论框架，通过文献回顾与半结构式访谈初步构建方案初稿，采用德尔菲法对12名跨领域专家进行2轮函询，最终确定方案内容。结果：2轮函询问卷有效回收率均为100%,专家权威系数为0.89,各级指标重要性赋值4.23～5.00分，变异系数0.06～0.15。最终形成包含3个一级指标、8个二级指标、32个三级指标的管理方案，涵盖家庭群组干预体系、健康资源整合、动态效能提升三大模块。结论：该方案具有较高的科学性与实用性，可为临床开展VBAC系统化管理提供规范化指导。更多还原

【Abstract】 Objective: To construct the family group management plan for vaginal birth after cesarean(VBAC) of women based on the principle of health origin, and to provide the scientific evidences for improving the success rate of VBAC and for enhancing the maternal and infant outcomes. Methods: Based on the health origin theory as the theoretical framework, a preliminary draft of the family group management plan was constructed by the literature review and the semi-structured interviews. The Delphi method was used to ultimately determine the content of the plan through two rounds of inquiry questionnaires with 15 cross disciplinary experts. Results: The effective response rate of the two rounds of inquiry questionnaires was 100%, the expert authority coefficient was 0.89, the importance of each level of the indicators was assigned 4.23-5.00 points, and the coefficient of variation of which was 0.06-0.15. The final management plan consisted 3 primary indicators, 8 secondary indicators and 32 tertiary indicators, covering three major modules, including the family group intervention system, the health resource integration and the dynamic efficiency improvement. Conclusion: The family group management plan established in this study has high scientificity and practicality, and which can provide the standardized guidance for the systematic management of VBAC of the women in clinical practice.更多还原