中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2026, Vol. 24 ›› Issue (3): 261-265.doi: 10.19438/j.cjoms.2026.03.009

• 论著 • 上一篇    下一篇

基于“三维质量结构”模式的口腔肿瘤出院带管患者延续护理评价指标体系的构建

郁玺玺*, 徐诸凤*, 王悦平, 谢瑜婷, 施佳敏, 王晴燕   

  1. 上海交通大学医学院附属第九人民医院 护理部,上海 200011
  • 收稿日期:2025-10-29 修回日期:2026-01-16 出版日期:2026-05-20 发布日期:2026-06-04
  • 通讯作者: 王悦平,E-mail: 18121213995@163.com
  • 作者简介:郁玺玺（1990—）,女,本科,护师,E-mail: yuxixi0601@126.com;徐诸凤（1992—）,女,硕士,主管护师,E-mail：724047219@qq.com。*并列第一作者
  • 基金资助:
    上海高水平地方高校创新团队项目（SHSMU-ZDCX20212301）; 上海申康医院发展中心研究型医师创新转化能力培训项目（SHDC2023CRS009）; 上海交通大学医学院附属第九人民医院护理院级基金项目（JYHL2023MS10）

Construction of continuous care for discharged oral tumor patients with indwelling tubes based on the "three-dimensional quality structure" model

Yu Xixi, Xu Zhufeng, Wang Yueping, Xie Yuting, Shi Jiamin, Wang Qingyan   

  1. Nursing Department, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011
  • Received:2025-10-29 Revised:2026-01-16 Online:2026-05-20 Published:2026-06-04

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摘要： 目的: 构建口腔肿瘤出院带管患者延续护理评价指标体系,为延续护理指标体系的临床应用提供操作可行的量化工具。方法: 以“结构-过程-结果”三维质量模型为理论框架,通过文献检索其他领域内延续护理评价指标要素,结合口腔颌面外科出院带管患者延续护理的质性研究,提炼出院带管患者延续护理质量指标体系要素。后续通过德尔菲专家函询法确定各指标内容和重要性,以层次分析法确定各级指标后,根据三级指标数量采用平均数法确定指标权重。结果: 经过两轮专家函询,初步构建了口腔肿瘤出院带管患者延续护理指标评价体系。该研究体系主要包含3个一级指标,9个二级指标,25个三级指标。本研究共计两轮专家函询,专家高度配合,问卷有效回收率均为100%。专家的权威系数分别为0.832、0.847,专家意见提出率为84.62%和92%,两轮专家函询中各指标的肯德尔协调系数在0.396~0.424之间。结论: 本研究构建的口腔肿瘤出院带管患者延续护理评价指标体系具有良好的科学性与可靠性,可量化分析延续护理关键指标,为全面规范带管出院患者延续护理实践、提升护理质量提供了参考依据。

关键词: 三维质量结构, 口腔肿瘤, 出院带管, 延续护理, 评价指标体系

Abstract: PURPOSE: To construct an evaluation index system for the continuous care of discharged oral tumor patients with indwelling tubes, providing a feasible quantitative tool for the clinical application of the continuous care index system, and improving the quality of care. METHODS: Based on the "structure-process-result" three-dimensional quality model as the theoretical framework, literature was used to retrieve the evaluation index elements of continuous care in other fields. Combined with the qualitative research on the continuous care of discharged patients with tubes in oral and maxillofacial surgery, the quality index system elements of continuous care for discharged patients with tubes were extracted. Subsequently, the Delphi expert inquiry method was adopted as the research approach to determine the content and significance of each indicator, and the weights of each level of indicators were determined through the analytic hierarchy process. RESULTS: After two rounds of expert inquiries, an initial evaluation system for the continuous care indicators of discharged patients in custody was established. This research system mainly consisted of 3 first-level indicators, 9 second-level indicators and 25 third-level indicators. Two rounds of expert inquiries were conducted. The experts provided high cooperation and attention, and the effective recovery rate of the questionnaires was 100% in both rounds. The authority coefficients of the experts were 0.832 and 0.847 respectively, and the rates of expert opinions were 84.62% and 92%. The Kendall coordination coefficients of each indicator in the two rounds of expert inquiries ranged from 0.396 to 0.424. CONCLUSIONS: The constructed evaluation index system for continuous care of discharged oral tumor patients with indwelling tubes is scientific and reliable. It quantitatively analyzes the relevant indicators of continuous care for this specific population, providing a theoretical basis for the comprehensive standardization of continuous care practices.

Key words: Three-dimensional mass structure, Oral tumor, Discharge with catheter, Continuous care, Evaluation index system

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