三级甲等医院急诊抢救室患者护理难度评价指标体系的构建研究
A Study on the Construction of an Evaluation Index System for the Difficulty of Patient Care in the Emergency and Rescue Room of a Tertiary-Level Hospital

目的：构建一套适用于三级甲等医院急诊抢救室患者的护理难度评价指标体系。方法：通过半结构式访谈并参考国内外关于护理难度指标的相关文献，初步拟定护理难度评价指标，采用德尔菲法对20名专家进行两轮函询。结果：构建了包含4个一级指标(病情严重程度、护理操作难度、护理资源需求、患者及家属配合度)和15个二级指标的三级甲等医院急诊抢救室患者护理难度评价指标体系。结论：本研究构建了急诊抢救室患者护理难度评价指标体系，具有一定的临床适用性，下一步将进行实证检验，以期为临床护理提供实用的护理难度评估工具。
Objective: To construct a set of nursing difficulty evaluation index system applicable to patients in the emergency rescue room of a tertiary hospital. Methods: Through semi-structured interviews and reference to relevant literature on nursing difficulty indicators at home and abroad, the evaluation indicators of nursing difficulty were initially formulated, and two rounds of correspondence were conducted with 20 experts using the Delphi method. Results: A nursing difficulty evaluation index system for patients in the emergency rescue room of a tertiary-level A hospital was constructed, which included four primary indicators (severity of illness, difficulty of nursing operation, demand for nursing resources, and cooperation of patients and their families) and 15 secondary indicators. Conclusion: This study constructed a nursing difficulty evaluation index system for patients in the emergency rescue room, which has certain clinical applicability, and will be empirically tested in the next step, with the aim of providing a practical nursing difficulty assessment tool for clinical care.