目的构建规范化、明确化的0~3岁婴幼儿托育机构医疗护理服务内容框架，为提升托育机构服务质量奠定基础。方法在文献分析、半结构式访谈的基础上构建0~3岁婴幼儿托育机构医疗护理服务内容框架条目池，以德尔菲法和层次分析法筛选条目并确定最终框架。结果 2轮函询有效回收率均为100.00%，专家权威系数分别为0.895、0.890。最终形成包含生活护理、安全管理、健康管理、心理护理、社会支持5个一级条目、14个二级条目、57个三级条目的托育机构医疗护理服务内容框架。结论构建的0~3岁婴幼儿托育机构医疗护理服务内容框架具有科学性、可靠性，可为当前医疗机构支持托育服务发展提供路径参考。

ObjectiveTo construct a standardized and clarified framework of medical and nursing service contents for nursery institutions,laying a foundation for improving the quality of services in these institutions.Methods Based on literature analysis and semi-structured interviews,an item pool for the medical and nursing service content framework of nursery institutions was constructed.The Delphi method and Analytic Hierarchy Process (AHP) were used to screen items and determine the final framework.ResultsThe effective recovery rates of the two rounds of consultation were 100.00%，and the expert authority coefficients were 0.895 and 0.890 respectively.The final framework consisted of 5 first-level items,namely life care,safety management,health management,psychological care,and social support,14 second-level items,and 57 third-level items. ConclusionsThe constructed medical and nursing service content framework for nursery institutions is scientific and reliable,and can provide a path reference for medical institutions to support the development of nursery services.

R473.72

2023年四川省教育厅项目（SCJG23A137）