关键词: 加速康复外科；围手术期；护理质量；标准体系；德尔菲法

Abstract: Objective: To develop a scientific, reliable and operable perioperative nursing quality evaluation standard system under the Enhanced Recovery After Surgery concept. Methods: The theoretical framework of this study is the Structure-Process-Result three-dimension quality evaluation model. The system was developed based on literature review and group discussion. Two rounds of expert consultation were conducted by Delphi correspondence method. The reliability of the correspondence was verified by calculating the expert positive coefficient, coefficient of variation, expert authority coefficient, and Kendall harmony coefficient. Results: The recovery rates of the effective questionnaires were 100.0%. The authority coefficients of the experts were 0.900 and 0.892, respectively. Kendall concordant coefficients were 0.119 and 0.173, respectively (P<0.001). After two rounds of correspondence, the perioperative nursing quality evaluation standard system was finally determined. The system included 3 primary items, 17 secondary items and 48 tertiary items. Conclusion: The perioperative nursing quality evaluation standard system is scientific, reliable and widely applicable, which can be used as an objective tool for perioperative nursing quality assessment.

Key words: Enhanced Recovery After Surgery; peripheral period; nursing quality; index system; Delphi method