手术患者术中压力性损伤评估框架的构建研究

目的：构建手术患者术中压力性损伤风险评估框架，为制定术中压力性损伤风险评估工具提供科学依据。方法：通过文献查询、现状调查和德尔菲函询法，对来自7个地区与压力性损伤研究相关的22名专家进行两轮函询。结果：手术患者术中压力性损伤风险评估内容，结构上包括术前风险评估阶段、术后风险评估阶段；内容包括患者固有因素7项、手术因素6项（术前为预计性评估、术后为实际性评价）；本研究专家的可靠性及权威性较高，两轮专家函询有效回收率分别为100%、95.4%，专家的权威系数分别为0.801、0.832，专家的肯德尔和谐系数分别为0.335、0.458。结论：本研究初步构建了清点单式术中压力性损伤风险评估工具的框架，为临床术中压力性损伤风险评估工具的制订奠定了基础。

A research of evaluation framework for intraoperative pressure injury in patients undergoing surgery

Objective: Toconstructiona framework, and provide a scientific basis for the evaluation of intraoperative pressure injury in the patients undergoing the surgery. Methods: The framework was preliminarily formed through literatures review, clinical survey and Delphi method. 22 experts from the research fields related to stress injury were consulted twice.Results: The risk assessment framework had been constructed to include the preoperative and postoperative stages according to the assessment time; and 7 patient factors and 6 surgical factors in it(preoperative predictive evaluation and postoperative practical evaluation). The results of Delphi method showed a higher reliability and authority.The effective recovery rate of the two rounds of expert consultation were respectively 100%, 95.4%; and the authority coefficient were respectively 0.801, 0.832, and the Kendall coefficient of concordance were 0.335 and 0.458 respectively.Conclusion: In this study, the list framework of risk assessment was preliminarily established. It lays a foundation for the development of risk assessment tools for intraoperative pressure injury.