目的 构建有关老年恶性淋巴瘤营养管理敏感质量指标体系,为评估临床营养管理质量提供客观可靠依据。 方法 以“结构-过程-结果”质量评估模型为体系构建的基础,辅以美国霍普金斯循证理论,通过文献检索、德尔菲法和层次分析法 确定老年恶性淋巴瘤营养管理敏感质量各项指标及权重。 结果 经过 2 轮专家(第 1 轮 28 名,第 2 轮 26 名)函询,有效问卷回 收率分别为 92. 9%、96. 2%,专家权威系数分别为 0. 852、0. 865,专家意见的肯德尔协调系数分别为 0. 387、0. 418,差异有统计 学意义(P<0. 05)。 最终构建了包括 3 项一级指标、8 项二级指标、20 项三级指标的老年恶性淋巴瘤营养管理敏感质量指标体 系。 结论 老年恶性淋巴瘤营养管理敏感质量指标体系科学、可靠且兼顾实用性,可为提升临床营养管理质量提供依据。

Objective To construct a sensitive quality index system for nutrition management of elderly malignant lymphoma and provide an objective and reliable basis for evaluating the quality of clinical nutrition management. Methods The " structure - process- result " quality assessment model was used as the basis of system construction supplemented by American Hopkins evidence-based theory through literature search Delphi method and analytic hierarchy process were used to determine the sensitive quality indexes and weights of nutritional management of elderly malignant lymphoma. Results After 2 rounds of expert letter inquiries round 1 n = 28 round 2 n = 26 the effective questionnaire recovery rates were 92. 9% and 96. 2% respectively the expert authority coefficients were 0. 852 and 0. 865 and the Kendall coordination coefficients of expert opinions were 0387 and 0. 418 respectively. The difference was statistically significant P< 0. 05 . Finally a sensitive quality index system for elderly malignant lymphoma nutrition management was constructed including 3 first-level indicators 8 second-level indicators and 20 third-level indicators. Conclusion The sensitive quality index system of nutrition management for elderly malignant lymphoma is scientific reliable and practical which provides a basis for improving the quality of clinical nutrition management.