Construction of quality evaluation index system for postoperative rehabilitation in children with developmental dislocation of the hip
10.3760/cma.j.cn115682-20230325-01146
- VernacularTitle:发育性髋关节脱位患儿术后康复质量评价指标体系的构建
- Author:
Yunyun WANG
1
;
Jihong FANG
;
Ying YIN
;
Jiali FAN
;
Fengqin WU
;
Yumei XIAO
;
Shujuan ZUO
;
Jing ZHU
Author Information
1. 安徽省儿童医院（复旦大学附属儿科医院安徽医院）儿童骨科，合肥 230051
- Keywords:
Child;
Development dislocation of the hip;
Surgical procedures, operative;
Rehabilitation;
Delphi technique;
Analytical hierarchy process
- From:
Chinese Journal of Modern Nursing
2023;29(28):3836-3841
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a quality evaluation index system for postoperative rehabilitation in children with developmental dislocation of the hip (DDH) .Methods:From August to November 2021, a quality evaluation index system for postoperative rehabilitation in children with DDH was established through literature review, group discussion, and Delphi expert consultation. The analytic hierarchy process was used to determine the weights of various indicators. The positive coefficient of experts was expressed by the effective response rate of the questionnaire. The authority level of experts was represented by the authority coefficient ( Cr) , which was determined by the expert judgment coefficient ( Ca) and the expert familiarity level ( Cs) . The degree of coordination of expert opinions was represented by the Kendall harmony coefficient (Kendall's W) . The degree of concentration of expert opinions was represented by the average score of importance assignment, coefficient of variation, and full score rate. Results:The effective response rates of the two rounds of expert consultation questionnaires were 90.00% and 100.00%, respectively. The Cr of experts in two rounds were 0.785 and 0.815, and the Kendall harmony coefficients were 0.098-0.193 and 0.147-0.212 ( P<0.05) . In the second round of expert consultation, the average scores of importance assignment for all levels of indicators were≥4.0, with coefficients of variation of 0-0.24 and a full score rate of ≥50%. The final quality evaluation index system for postoperative rehabilitation in children with DDH included 3 first-level indicators, 9 second-level indicators, and 37 third-level indicators. In the consistency test results of each indicator at all levels, all of the CI were <0.001, and all of the CR were<0.001. Conclusions:The construction process of the quality evaluation index system for postoperative rehabilitation in children with DDH is scientific, and the weight distribution of the indicators is reasonable, which can be used as an effective tool for evaluating the postoperative rehabilitation quality of DDH children.
