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 (4): 425-431.doi: 10.3761/j.issn.2096-7446.2026.04.006

• 急危重症护士培养及管理专题 • 上一篇    下一篇

体外膜肺氧合护士应急能力评价指标体系的构建及适用性分析

李传圣1(), 米元元2, 陈丽花3, 黄维健4,*()   

  1. 1 烟台毓璜顶医院血液净化中心 烟台市 264000
    2 华中科技大学同济医学院附属协和医院重症医学科 武汉市 430022
    3 广州医科大学附属第一医院广州呼吸健康研究院重症医学科 广州市 510145
    4 烟台毓璜顶医院护理部 烟台市 264000
  • 收稿日期:2025-09-19 出版日期:2026-04-10 发布日期:2026-04-02
  • 通讯作者: 黄维健 E-mail:energy2023@126.com;mafada66@126.com
  • 作者简介:李传圣：男，本科（硕士在读），主管护师，E-mail：energy2023@126.com

Construction and applicability analysis of emergency response capability evaluation index system for extracorporeal membrane pulmonary oxygenation nurses

LI Chuansheng1(), MI Yuanyuan2, CHEN Lihua3, HUANG Weijian4,*()   

  1. 1 Blood Purification Center， Yantai Yuhuangding Hospital， Yantai 264000， China
    2 Department of Critical Care Medicine， Union Hospital Affiliated to Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430022， China
    3 Intensive Care Unit， Guangzhou Respiratory Health Research Institute，the First Affiliated Hospital of Guangzhou Medical University， Guangzhou 510145， China
    4 Nursing Department， Yantai Yuhuangding Hospital， Yantai 264000， China
  • Received:2025-09-19 Online:2026-04-10 Published:2026-04-02
  • Contact: HUANG Weijian E-mail:energy2023@126.com;mafada66@126.com

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摘要：

目的 构建体外膜肺氧合（extracorporeal membrane oxygenation，ECMO）护士应急能力评价指标体系，为ECMO护士的应急能力培养及评价提供参考。 方法 2025年1月—5月，以4R危机管理理论为理论框架，采用文献回顾、半结构式访谈、德尔菲法及层次分析法，确定ECMO护士应急能力评价指标体系的内容及各指标权重。 结果 2轮专家函询的有效问卷回收率分别为88.46%、86.95%，专家的权威系数为0.937和0.950，肯德尔和谐系数分别为0.205~0.467和0.210~0.616（P<0.05），最终构建的ECMO护士的应急能力评价指标体系包含一级指标4项、二级指标13项和三级指标40项。 结论 构建的ECMO护士应急能力评价指标体系具有科学性和实用性，可对ECMO护士的应急能力培养和临床实践评价提供参考。

关键词: 体外膜肺氧合, 应急能力, 德尔菲法, 层次分析法, 指标, 护理

Abstract:

Objective To establish an evaluation index system for emergency response capabilities of nurses performing extracorporeal membrane oxygenation（ECMO），providing reference for the training and evaluation of emergency response capabilities of ECMO nurses. Methods From January to May 2025，using the 4R crisis management theory as the theoretical framework，literature review，semi-structured interviews，Delphi method，and analytic hierarchy process were used to determine the content and weights of the ECMO nurse emergency response capability evaluation index system. Results The effective questionnaire response rates for the two rounds of expert inquiry were 88.46% and 86.95%，respectively. The authority coefficients of the experts were 0.937 and 0.95，and the Kendall harmony coefficients were 0.205~0.467 and 0.210~0.616，respectively（P<0.05）. The trajectory changes of the average and standard deviation of the first and second level indicators in the second round of expert inquiry，as well as the fountain chart of the third level indicators，showed that the expert opinions tended to be consistent. The final ECMO nurse emergency response capability evaluation index system included 4 primary indicators，13 secondary indicators，and 40 tertiary indicators. Conclusion The constructed ECMO nurse emergency response capability evaluation index system is scientific and practical，and can provide reference for the emergency capability training and clinical practice evaluation of ECMO nurses.

Key words: Extracorporeal Membrane Oxygenation, Emergency Response Capability, Delphi, Analytic Hierarchy Process, Index, Nursing Care