空军军医大学学报2026，Vol.47Issue(8)：1163-1168,6.DOI:10.13276/j.issn.2097-1656.2026.08.012
胃肠道肿瘤加速康复外科质量评价指标体系的构建
Development of a quality evaluation index system for enhanced recovery after surgery in gastrointestinal tumors
摘要
Abstract
Objective To construct an evaluation index system for enhanced recovery after surgery(ERAS)in gastrointestinal tumors,providing a scientific and systematic quality assessment tool for clinical practice.Methods Guided by Donabedian's"structure-process-outcome"quality theory,a preliminary framework of the evaluation index system was developed through literature review and panel discussion.A two-round Delphi method was conducted among 30 experts from the fields of gastrointestinal surgery,anesthesiology,nutrition,and nursing management to screen and validate the indicators.Results The response rates for the two rounds of surveys were 93.8％and 100.0％,respectively,with an expert authority coefficient of 0.92.The Kendall's coefficient of concordance for tertiary indicators increased from 0.241 to 0.283(P＜0.05).The final evaluation index system consisted of 3 primary indicators,10 secondary indicators,and 35 tertiary indicators.Conclusion The established ERAS evaluation index system for gastrointestinal tumors demonstrates high expert enthusiasm,strong authority,and good consensus.It is scientifically reliable and can serve as a preliminary standardized quality assessment tool for ERAS clinical practice and quality control in gastrointestinal tumors.关键词
胃肠道肿瘤/加速康复外科/围手术期护理/质量指标,卫生保健/Delphi法/结果评价(卫生保健)/评价研究/层次分析法Key words
gastrointestinal tumors/enhanced recovery after surgery/perioperative care/quality indicators,health care/Delphi technique/outcome assessment(health care)/evaluation studies/analytic hierarchy process分类
医药卫生引用本文复制引用
何广源,刘小南,宁鹏涛..胃肠道肿瘤加速康复外科质量评价指标体系的构建[J].空军军医大学学报,2026,47(8):1163-1168,6.基金项目
陕西省哲学社会科学研究专项(2025YB0076) （2025YB0076）
空军军医大学医疗管理创新专项(2025) （2025）
