ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (1): 36-41.doi: 10.3761/j.issn.2096-7446.2026.01.005

• 危重患儿护理专题 • 上一篇    下一篇

儿童重症监护室安宁疗护质量评价指标体系的构建及适用性分析

赵会云1(), 吴博2,*(), 许笑影3, 唐诗4   

  1. 1.上海交通大学医学院附属新华医院儿急危重症医学科 上海市 200092
    2.临沂市妇幼保健院儿科 山东省临沂市 276000
    3.同济大学附属上海市肺科医院护理部 上海市 200433
    4.上海交通大学医学院附属仁济医院护理部 上海市 200127
  • 收稿日期:2025-07-09 出版日期:2026-01-10 发布日期:2026-01-06
  • 通讯作者: 吴博，E-mail：wubo2019@alumni.sjtu.edu.cn
  • 作者简介:赵会云：女，硕士，主管护师，E-mail：18621012450@139.com
  • 基金资助:
    上海交通大学医学院附属新华医院护理学科新苗人才计划(xhlxm005)

Development of a quality assessment indicator system for palliative care in pediatric intensive care units

ZHAO Huiyun1(), WU Bo2,*(), XU Xiaoying3, TANG Shi4   

  1. 1. Pediatric Intensive Care Unit， Xinhua Hospital，Shanghai Jiaotong University School of Medicine， Shanghai 200092， China
    2. Department of Pediatrics， Women&Children’s Health Care Hospital of Linyi，Linyi， Shandong Province 276000， China
    3. Department of Nursing， Pulmonary Hospital，Tongji University， Shanghai 200433， China
    4. Department of Nursing， Renji Hospital，Shanghai Jiaotong University School of Medicine，Shanghai 200127， China. *WU Bo， E-mail：wubo2019@alumni.sjtu.edu.cn
  • Received:2025-07-09 Online:2026-01-10 Published:2026-01-06
  • Contact: WU Bo，E-mail：wubo2019@alumni.sjtu.edu.cn
  • Supported by:
    Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine：Nursing Development Program(xhlxm005)

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摘要：

目的 初步构建儿童重症监护室（pediatric intensive care unit，PICU）安宁疗护质量评价指标体系，以期为PICU内患儿安宁疗护质量监测与管理提供依据。方法 基于Donabedian理论框架，采用文献查阅、德尔菲专家函询以及层次分析法，构建包括“结构、过程、结果”三维度的护理质量评价指标体系。结果 共经历了3轮函询，3轮问卷回收率均为100%，专家权威系数分别为0.97、0.96、0.98，肯德尔和谐系数分别为0.102、0.312、0.344（P<0.01），最终构建的PICU安宁疗护质量评价指标体系包括一级指标3个、二级指标11个、三级指标40个。结论 该研究最终形成的指标体系兼具科学性与临床适用性，可作为安宁疗护质量审核的参考，为护士提供了明晰的工作框架与规范，为探讨安宁疗护干预措施的效果提供了可量化的评价标准。

关键词: 儿童重症监护室, 安宁疗护, 护理质量, 指标, 德尔菲法, 层次分析法

Abstract:

Objective To initially construct a quality evaluation index system for palliative care in pediatric intensive care units（PICUs），providing a basis for monitoring and managing the quality of palliative care in PICUs. Methods Based on the Donabedian theoretical framework，a literature review，expert Delphi method，and analytic hierarchy process were used to construct a quality evaluation index system for nursing care，including specific contents in structure，process，and outcome dimensions. Results Three rounds of expert consultation were conducted，with a 100% response rate for each round. The expert authority coefficients were 0.97，0.96，and 0.98，respectively，and the Kendall’s coefficient of concordance was 0.102，0.312，and 0.344（P<0.01）. Ultimately，a quality evaluation index system for palliative care in PICUs was constructed，including 3 first-level indicators，11 second-level indicators，and 40 third-level indicators. Conclusion The index system ultimately formed in this study is both scientific and clinically applicable. It can be used as a reference for the quality review of palliative care，providing nurses with a clear working framework and norms，and offering quantifiable evaluation standards for exploring the effectiveness of palliative care intervention measures.

Key words: Pediatric Intensive Care Unit, Palliative Care, Nursing Quality, Index, Delphi Method, Analytic Hierarchy Process