目的 构建脑卒中后神经源性膀胱临床护理评价指标体系，为相关评估提供有效的测评工具。方法 基于知识-信念-行为理论，通过文献研究，头脑风暴法的基础上，通过2轮专家函询构建了脑卒中后神经源性膀胱临床护理评价指标体系。结果 构建的脑卒中后神经源性膀胱临床护理评价指标体系，包括知识水平、信念态度、行为方式3个一级指标、10个二级指标和55个三级指标。2轮专家函询专家积极性系数均为100.0%；2轮专家函询的专家意见权威系数分别为0.910、0.917；2轮函询指标条目重要性评分均数范围分别为3.15~4.96、4.08~4.96；2轮肯德尔和谐系数为0.318和0.316，差异均有统计学意义(均P＜0.001)。结论 构建的脑卒中后神经源性膀胱临床护理评价指标体系，具有良好的科学性、实用性，可用于评估脑卒中后神经源性膀胱专科护理能力。

Objective To develop a clinical nursing evaluation index system for post-stroke neurogenic bladder (PSNB) care, providing an effective tool for assessing nurses’ specialized competencies.Methods Based on the Knowledge-Attitude-Practice (KAP) theory, a clinical nursing evaluation index system for PSNB was constructed through a literature review, brainstorming, and two rounds of expert Delphi consultation.Results The finalized index system includes 3 first-level dimensions (knowledge, attitude, and practice), 10 second-level indicators, and 55 third-level indicators. The expert participation rate was 100.0% in both Delphi rounds. The authority coefficients of experts were 0.910 and 0.917, respectively. The mean importance scores of the index items ranged from 3.15 to 4.96 in the first round and from 4.08 to 4.96 in the second round. Kendall’s coefficients of concordance were 0.318 and 0.316 in the two rounds, respectively, both with statistically significant differences (P＜0.001).Conclusions The constructed clinical nursing evaluation index system for PSNB demonstrates good scientific validity and practical applicability, and can be used to assess clinical nurses’ competency in providing specialized care for post-stroke neurogenic bladder.

R473.59

上海市护理学会立项课题（2023MS-B04）