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

doi:10.3969/j.issn.1671-7171.2025.05.012

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1234 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： Pregnant Women Parturition Parity Obstetric Nursing

Received: 12 February 2025

PACS:

R714.3

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HAN Xiaohui
	WANG Dan
	LI Li

Cite this article:

HAN Xiaohui,WANG Dan,LI Li. Evaluation System of Quality Sensitive Indicators for Obstetric Interventions in Vaginal Birth after Cesarean Based on Delphi Method[J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(5): 776-779.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2025.05.012 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2025/V42/I5/776

[1] 张萌,陈维萍,刘翠萍,等. 剖宫产术后阴道分娩护理质量敏感性分级指标的构建[J].护理学报,2021,28(18):61-65.
[2] 祝志梅,黄丽华,冯志仙,等. 产科护理质量敏感性指标的构建[J].中华护理杂志,2016,51(5):573-577.
[3] 郭娜,白瑞苗,屈鹏飞,等. 剖宫产术后再次妊娠阴道分娩的产前评估及影响因素分析[J].中华妇产科杂志,2019,54(6):369.
[4] 徐驰,孙忠华,江凯,等. 基于德尔菲法构建预防用质子泵抑制剂合理应用敏感指标[J].中国药事,2022,36(6):698-704.
[5] 许娟,杨飞,郑静,等. 德尔菲法在国内临床护理质量评价指标中构建的文献计量分析[J].护理实践与研究,2022,19(8):1162-1167.
[6] 么莉.护理敏感性质量指标实用手册[M].北京:人民卫生出版社,2016:8-77.
[7] 钟际香,邹丹,张文娟,等. 基于循证构建认知行为决策板在剖宫产术后再次妊娠孕产妇中的应用[J].齐鲁护理杂志,2019,25(22):4-8.
[8] 朱潇玲,马涛洪,祁学峰,等. 基于循证和德尔菲法构建围麻醉期护理质量敏感性指标[J].国际麻醉学与复苏杂志,2022,43(9):956-962.
[9] 梁昌昊,尹冠翔,王雅琪,等. 中医药临床实践指南制订和修订中德尔菲法应用的方法流程及建议[J].协和医学杂志,2023,14(5):1084-1090.
[10] 赵诗雨,喻姣花. 专科护理质量敏感性指标研究进展[J].护理研究,2019,33(8):1342-1346.
[11] NAIK S, VOONG S, BAMFORD M,et al.Assessment of the Nursing Quality Indicators for Reporting and Evaluation (NQuIRE) database using a data quality index[J].J Am Med Inform Assoc,2020,27(5):776-782.
[12] 张世瑜,郑蕾,吴蓓雯. 基于德尔菲法甲状腺肿瘤患者围手术期快速康复护理模式的构建[J].中华现代护理杂志,2019,25(27):3505-3509.
[13] 邹盼盼,吴丹,米钰,等. 成年人外周静脉留置针导管失效风险因素评价指标体系的构建[J].中国实用护理杂志,2022,38(5):352-359.
[14] 尹小兰,何芯芯,杜林,等. RNN、JPR及ARIMA 3种模型预测中国农村孕产妇病死率的比较[J].中华疾病控制杂志,2023,27(11):1308-1313.
[15] 贠淑茸,张利荣. 阴道分娩产后出血影响因素分析及护理对策[J].血栓与止血学,2022,28(3):878-879.
[16] 顾红,刘敏,吴蕾,等. 母婴皮肤接触式早复温对新生儿体温及产妇结局的影响[J].国际护理学杂志,2022,41(3):472-475.
[17] MICHEL A. Review of the reliability and validity of the apgar score[J].Adv Neonatal Care,2022,22(1):28-34.

[1]	. [J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(5): 898-900.