Abstract:【Objective】To explore the establishment of an evaluation system for quality sensitive indicators of obstetric interventions in vaginal birth after cesarean (VBAC) based on the Delphi method. 【Methods】From October 2022 to February 2023, this study adopted literature review, focus group discussion, and Delphi expert consultation to collect and confirm the sensitive quality indicators for obstetric interventions in VBAC. The process involved gathering data from existing research, conducting in-depth interviews with focus group members, and soliciting opinions from experts in various fields via the Delphi method to ensure the comprehensiveness and scientific validity of the identified indicators. 【Results】The positive coefficient of the two rounds of expert consultation was 100%, with authority coefficients of 0.88 and 0.94, and the coefficient of variation ranged from 0.06 to 0.26. The constructed hierarchical indicators for nursing quality sensitivity in VBAC included 3 first-level indicators, 9 second-level indicators, and 33 third-level indicators. 【Conclusion】This study successfully established a system of quality sensitive indicators for obstetric interventions in VBAC, comprising 3 first-level indicators, 9 second-level indicators, and 33 third-level indicators. The Delphi expert consultation method ensured the scientificity, comprehensiveness, and practicality of the indicator system.
韩晓慧, 王丹, 李莉. 基于德尔菲法构建剖宫产后阴道分娩产科干预质量敏感指标的评价体系[J]. 医学临床研究, 2025, 42(5): 776-779.
HAN Xiaohui, WANG Dan, LI Li. Evaluation System of Quality Sensitive Indicators for Obstetric Interventions in Vaginal Birth after Cesarean Based on Delphi Method. JOURNAL OF CLINICAL RESEARCH, 2025, 42(5): 776-779.