【摘要】 目的 ：构建经中心静脉导管行血液净化治疗的护理操作查检清单（以下简称清单），并分析初步应用效果，为临床护理质量控制提供可借鉴的工具。方法：检索国内外相关政府网站、协会官网、指南网站和数据库，提取优质证据，初步拟定清单内容，邀请16位专家进行德尔菲函询，结合专家意见进行完善，形成清单终稿，并初步应用于一家三级甲等医院涉及该操作的8个护理单元。结果：共完成2轮函询，专家积极系数为100.00%和93.75%，专家权威系数为0.837和0.835,Kendall协调系数科学性、重要性分别为0.089、0.109和0.165、0.197，差异均具有统计学意义（P<0.05）。最终清单包括4个维度和37个条目。将清单作为质量控制工具及评分表进行初步应用后，与质量控制前相比，该项护理操作得分在质量控制中、后得到了明显提升（P<0.05）。结论 ：该清单内容涵盖关键要素和必须要素，具有科学性、可靠性和实用性，可促进临床护理行为规范化、同质化，为实施标准化质量管理提供借鉴。更多还原

【Abstract】 Objective: To develop a nursing operational checklist(hereinafter referred to as the checklist) for blood purification therapy via central venous catheter, and analyze its preliminary application effects, providing a reference tool for quality control of this procedure in clinical practice. Methods: We systematically reviewed government and association websites, guideline databases, and other relevant sources to extract high-quality evidence. A preliminary version of the checklist was drafted, and later 16 experts were invited to participate in a two-round Delphi consultation. The checklist was refined based on expert feedback to form the final version, which was then pilot-tested in eight nursing units of a tertiary grade A hospital where the procedure was performed. Results: Two rounds of consultation were completed, with expert participation rates of 100.00% and 93.75%, and authority coefficients of 0.837 and 0.835, respectively. The Kendall’s W values were 0.089 and 0.109 for the first round, and 0.165 and 0.197 for the second round, all demonstrating statistically significant differences(P<0.05). The final checklist comprised 4 dimensions including 37 items. Compared with before quality control, preliminary application of the checklist as a quality control and scoring tool showed significant improvement in nursing procedure scores during and after quality control(P<0.05). Conclusion: The checklist comprehensively covers critical and essential elements, demonstrating scientific rigor, reliability, and practicality. It serves as a valuable reference for standardizing and homogenizing clinical nursing practices and implementing standardized quality management.更多还原