关键词: Donabedian理论, 　整复外科手术, 　护理质量评价指标

Abstract: Objective　To establish the evaluation index system of nursing quality of plastic and reconstructive surgery specialties based on Donabedian theory. Methods　 Thirty five experts from Three-A hospitals in China in plastic and reconstructive surgery were consulted through email from April to June in 2023. The primary nursing quality evaluation index system of plastic and reconstructive surgery specialties was drawn up through literature research and qualitative interview methods. Two rounds of expert consultation were conducted by Delphi method to establish the nursing quality evaluation index system of plastic and reconstructive surgery specialties. Results　The composition of experts in the two rounds of consultation was consistent， and the Cr of the experts was 0.777 1. In this study， the coefficient of variation of the secondary and tertiary indexes was 0.107-0.129， and the coefficient of variation was below 0.15， indicating that the two round consultations were credible and the coordination of the experts was good. Eventually， experts were consistant with each other in regard to all the indexes， the evaluation indexes of nursing quality in plastic and reconstructive surgery including 3 primary indexes， 10 secondary indexes and 47 tertiary indexes were determined through two round consultations by email. Conclusion　 This study established a relatively scientific， rigorous and comprehensive evaluation index system for the quality of surgical care in plastic and reconstructive surgery， providing a theoretical basis for optimizing the quality of nursing care in plastic and reconstructive surgery and improving the satisfaction of patients and doctors.

Key words: Donabedian theory, 　Plastic and reconstructive surgery, 　Nursing quality evaluation indexes