摘要
目的构建产科新生儿遗传代谢病筛查质控指标体系,为临床新生儿遗传代谢病的筛查质控提供标准化工具。方法2024年3—5月,通过文献回顾,结合临床工作经验,初步拟定产科新生儿遗传代谢病筛查质控指标函询问卷,通过两轮德尔菲法最终确立指标体系,采用层次分析法确定指标权重。结果两轮函询各发放问卷16份,有效回收率均为100%,专家权威系数分别是0.863、0.876,指标重要性和可行性的肯德尔和谐系数在0.091~0.125之间,最终形成了包含3个一级指标、8个二级指标和28个三级指标的产科新生儿遗传代谢病筛查质控指标体系。结论通过德尔菲法构建的产科新生儿遗传代谢病筛查质控指标体系有较好的系统性和较高的临床适应性,可操作性强,可应用于产科新生儿遗传代谢病筛查的质量控制。
Objective To develop a quality control indicator system for neonatal screening of inherited metabolic diseases in obstetric settings,so as to provide a standardized tool for quality control in clinical neonatal screening of inherited metabolic diseases.Methods From March to May 2024,a literature review combined with expert clinical experience was conducted to develop a preliminary questionnaire on quality control indicators for neonatal screening of inherited metabolic diseases.The final indicator system was established after two rounds of the Delphi method,and the Analytic Hierarchy Process was used to determine indicator weights.Results Sixteen questionnaires were distributed in each of the two consultation rounds,with a valid response rate of 100%for both.The expert authority coefficients were 0.863 and 0.876,respectively.Kendall's coefficient of concordance for the importance and feasibility of the indicators ranged from 0.091 to 0.125.The final indicator system comprised 3 primary indicators,8 secondary indicators,and 28 tertiary indicators for neonatal screening of inherited metabolic diseases in obstetric settings.Conclusions The quality control indicator system developed using the Delphi method demonstrates a strong systematic structure,high clinical adaptability,and strong operability,and can be effectively applied to quality control in neonatal screening of inherited metabolic diseases in obstetric settings.
作者
李慧
张金
曹丹凤
LI Hui;ZHANG Jin;CAO Dan-Feng(Department of Nursing,The First Affiliated Hospital of Shandong First Medical University&Shandong Province Qianfoshan Hospital,Jinan 250014,China)
出处
《中国当代儿科杂志》
北大核心
2025年第8期994-1001,共8页
Chinese Journal of Contemporary Pediatrics
基金
2016年山东省医药卫生科技发展计划项目(2016WS0493)。
关键词
遗传代谢病
新生儿筛查
质量控制
评价指标
德尔菲法
新生儿
Inherited metabolic disease
Neonatal screening
Quality control
Evaluation indicator
Delphi method
Neonate
