摘要
目的构建发育性髋关节脱位(DDH)患儿术后康复质量评价指标体系。方法于2021年8—11月通过文献回顾、小组讨论、德尔菲专家函询,形成DDH患儿术后康复质量指标体系,采用层次分析法确定各指标权重。专家的积极系数用问卷的有效回收率表示;专家权威程度用权威系数(Cr)表示,Cr由专家判断系数(Ca)和专家熟悉程度(Cs)决定;专家意见的协调程度用肯德尔和谐系数表示;专家意见的集中程度采用重要性赋值均分、变异系数及满分率表示。结果2轮专家函询问卷有效回收率分别为90.00%、100.00%,专家Cr分别为0.785、0.815,肯德尔和谐系数分别为0.098~0.193、0.147~0.212(P<0.05),第2轮专家函询的各级指标的重要性赋值均分均≥4.0分,变异系数为0~0.24,满分率≥50%。最终形成包含3个一级指标、9个二级指标、37个三级指标的DDH患儿术后康复质量评价指标体系,各指标在各层次的一致性检验结果中,CI均<0.001、CR均<0.001。结论DDH患儿术后康复质量评价指标体系构建过程科学,指标权重分配合理,可以作为评价DDH患儿术后康复质量的有效评估工具。
Objective To construct a quality evaluation index system for postoperative rehabilitation in children with developmental dislocation of the hip(DDH).Methods From August to November 2021,a quality evaluation index system for postoperative rehabilitation in children with DDH was established through literature review,group discussion,and Delphi expert consultation.The analytic hierarchy process was used to determine the weights of various indicators.The positive coefficient of experts was expressed by the effective response rate of the questionnaire.The authority level of experts was represented by the authority coefficient(Cr),which was determined by the expert judgment coefficient(Ca)and the expert familiarity level(Cs).The degree of coordination of expert opinions was represented by the Kendall harmony coefficient(Kendall's W).The degree of concentration of expert opinions was represented by the average score of importance assignment,coefficient of variation,and full score rate.Results The effective response rates of the two rounds of expert consultation questionnaires were 90.00%and 100.00%,respectively.The Cr of experts in two rounds were 0.785 and 0.815,and the Kendall harmony coefficients were 0.098-0.193 and 0.147-0.212(P<0.05).In the second round of expert consultation,the average scores of importance assignment for all levels of indicators were≥4.0,with coefficients of variation of 0-0.24 and a full score rate of≥50%.The final quality evaluation index system for postoperative rehabilitation in children with DDH included 3 first-level indicators,9 second-level indicators,and 37 third-level indicators.In the consistency test results of each indicator at all levels,all of the CI were<0.001,and all of the CR were<0.001.Conclusions The construction process of the quality evaluation index system for postoperative rehabilitation in children with DDH is scientific,and the weight distribution of the indicators is reasonable,which can be used as an effective tool for evaluating the postoperative rehabilitation q
作者
汪云云
方继红
尹莹
范家莉
武凤芹
肖玉梅
左淑娟
朱晶
Wang Yunyun;Fang Jihong;Yin Ying;Fan Jiali;Wu Fengqin;Xiao Yumei;Zuo Shujuan;Zhu Jing(Department of Pediatric Orthopedics,Anhui Provincial Children's Hospital(Anhui Hospital,Children's Hospital of Fudan University),Hefei 230051,China;Nursing Department,Anhui Provincial Children's Hospital(Anhui Hospital,Children's Hospital of Fudan University),Hefei 230051,China;Department of Pediatric Anesthesiology,Anhui Provincial Children's Hospital(Anhui Hospital,Children's Hospital of Fudan University),Hefei 230051,China;School of Nursing,Anhui Medical University,Hefei 230000,China)
出处
《中华现代护理杂志》
2023年第28期3836-3841,共6页
Chinese Journal of Modern Nursing
基金
安徽省卫生健康委科研项目(AHWJ2021b143)
安徽省护理学会培育项目(AHHLb202137)
安徽省科技创新战略与软科学研究项目(202206f01050043)。
关键词
儿童
发育性髋关节脱位
手术
康复
德尔菲法
层次分析法
Child
Development dislocation of the hip
Surgical procedures,operative
Rehabilitation
Delphi technique
Analytical hierarchy process
