引用文本：陈颖, 彭利芬, 李静, 等. 基于结构-过程-结果模型的加速康复外科护理示范病房评价指标体系的构建[J/CD]. 消化肿瘤杂志（电子版）, 2026, 18(3): 478-487.

作者：陈颖1，彭利芬1，李静2，戴伟钢1

单位：1. 中山大学附属第一医院 胃肠外科二科，广东 广州 510080；2. 中山大学附属第一医院 烧伤创面中心，广东 广州 510080

Authors：Chen Ying1, Peng Lifen1, Li Jing2, Dai Weigang1

Unit：1. Unit 2, Department of Gastrointestinal Surgery, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China；2. Burn, Wound Reconstruction Department, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China

摘要：

目的 构建加速康复外科（enhanced recovery after surgery, ERAS）护理示范病房评价指标体系，为临床ERAS护理质量评估与持续改进提供标准化工具。方法 以Donabedian结构-过程-结果三维质量模型为理论框架，结合循证文献和临床实践初步拟定指标池；采用德尔菲法对16名专家进行两轮专家函询以筛选指标，通过Likert 5级评分法对各指标的重要性和可操作性进行评分，并对专家函询积极系数、权威系数、肯德尔协调系数（Kendall's W）进行统计分析。结果 两轮函询专家积极系数均为100%，专家权威系数分别为0.91、0.93，指标的重要性评分的Kendall’s W值分别为 0.22、0.50（均P＜0.001），可操作性评分的Kendall’s W值分别为 0.16、0.42（均P＜0.001）。最终形成包含4个一级指标、25个二级指标、69个三级指标的评价体系；所有指标的重要性评分均值均≥4.00分，可操作性评分均值均≥3.75分，变异系数均≤0.23。结论 本研究构建的ERAS护理示范病房评价指标体系具有良好的科学性、可靠性和实用性，可为ERAS护理示范病房标准化建设、质量评价与持续改进提供参考依据。

关键词：加速康复外科；示范病房；评价指标

Abstract：

Objective To develop an evaluation indicator system for enhanced recovery after surgery (ERAS) nursing demonstration wards, providing a standardized tool for the clinical assessment and continuous improvement of ERAS nursing quality. Method Using the Donabedian structure-process-outcome three-dimensional quality model as the theoretical framework, an initial set of indicators was formulated based on evidence-based literature and clinical practice; the Delphi method was employed to conduct two rounds of expert surveys involving 16 experts for indicator screening, and the importance and feasibility of each indicator were rated using the 5-point Likert scale. Statistical analyses were performed on the experts' positive coefficient, authority coefficient, and Kendall's W coefficient of concordance. Result In both rounds of expert surveys, the positive coefficient was 100%; the experts' authority coefficients were 0.91 and 0.93, respectively; the Kendall's W values for the importance scores were 0.22 and 0.50 (all P<0.001), respectively; and the Kendall's W values for the feasibility scores were 0.16 and 0.42 (all P<0.001), respectively. The final evaluation system comprises 4 primary indicators, 25 secondary indicators, and 69 tertiary indicators; all indicators received a mean importance score≥4.00, a mean feasibility score≥3.75, and a coefficient of variation≤0.23. Conclusion The developed ERAS nursing demonstration ward evaluation indicator system demonstrates strong scientific validity, reliability, and practicality, serving as a reference for the standardized establishment, quality assessment, and continuous improvement of ERAS nursing demonstration wards.

Key words：Enhanced recovery after surgery; Demonstration ward; Evaluation indicators

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