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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2025; 9: (6) ; 10.12208/j.ijcr.20250273 .

Construction of infection control evaluation index system for hematopoietic stem cell transplantation wards based on process management
基于过程管理的造血干细胞移植病房的感染控制评价指标体系的构建

作者： 王莹 *, 王文威, 朱立颖

上海交通大学医学院附属第一人民医院护理部 上海

*通讯作者： 王莹,单位：上海交通大学医学院附属第一人民医院护理部 上海；

引用本文: 王莹, 王文威, 朱立颖 基于过程管理的造血干细胞移植病房的感染控制评价指标体系的构建[J]. 国际临床研究杂志, 2025; 9: (6) : 9-14.
Published: 2025/6/25 10:05:33

摘要

目的 构建造血干细胞移植病房的感染控制评价指标体系。方法 以过程管理理论为基础，通过文献回顾和专家访谈，初步设计造血干细胞移植病房感染控制评价指标体系，通过两轮德尔菲专家咨询法、层次分析法确定评价指标。结果 构建了一套造血干细胞移植病房感染控制评价指标体系，包括6个一级指标，18个二级指标，74个三级指标。两轮德尔菲专家咨询的积极系数均为100%，权威系数分别为0.9125和0.9225；第二轮协调系数0.224，专家意见趋于一致。一级指标权重排序为人（0.363）、机（0.211）、料（0.166）、环（0.109）、测（0.078）和法（0.073）。二级指标组合权重排序前三位者分别为医护人员（0.260）、空气净化设备（0.138）和清洁消毒材料（0.074）。三级指标组合权重排序前三位者分别为空调净化设备（0.085）、医护人员院感相关基础操作技能（0.084）和基础理论知识（0.083）。结论 此研究构建的指标体系能够为造血干细胞移植病房感染控制评价提供依据。

关键词： 造血干细胞移植；医院感染；评价指标；德尔菲法

Abstract

Objective To construct an infection control evaluation index system for hematopoietic stem cell transplantation wards.
Methods The method was based on process management theory, and through literature review and expert interviews, a preliminary evaluation index system for infection control in hematopoietic stem cell transplantation wards was designed. The evaluation indicators were determined through two rounds of Delphi expert consultation and Analytic Hierarchy Process.
Results A set of infection control evaluation index system for hematopoietic stem cell transplantation wards was constructed, including 6 primary indicators, 18 secondary indicators, and 74 tertiary indicators. The positive coefficients of the two rounds of Delphi expert consultation were 100%, and the authoritative coefficients were 0.9125 and 0.9225, respectively; The second round of coordination coefficient is 0.224, and expert opinions tend to be consistent. The first level indicator weights are sorted as human (0.363), machine (0.211), material (0.166), environment (0.109), measurement (0.078), and method (0.073). The top three in the weight ranking of the combination of secondary indicators are medical staff (0.260), air purification equipment (0.138), and cleaning and disinfection materials (0.074). The top three indicators in the weight ranking of the three-level indicator combination are air conditioning purification equipment (0.085), basic operational skills related to hospital infection among medical staff (0.084), and basic theoretical knowledge (0.083).
Conclusion   The indicator system constructed in this study can provide a basis for the evaluation of infection control in hematopoietic stem cell transplantation wards.

Key words： Hematopoietic stem cell transplantation; Hospital infection; Evaluation indicators; Delphi method

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