内科

目的基于结构-过程-结果（SPO）三维质量结构理论，初步构建盆腔炎性疾病后遗症（SPID）（肾虚血瘀证）中医护理质量评价指标体系的框架，并探讨其相关主题，为后续形成具体、可操作的评价体系提供理论依据和初步框架。方法采用质性研究方法，运用目的抽样法选取某三级甲等中西医结合医院的4名护理专家、7名一线护士及7名SPID（肾虚血瘀证）患者进行半结构式访谈，运用Colaizzi 7步法对访谈资料进行分析与主题提炼。结果基于SPO理论框架，初步构建了SPID（肾虚血瘀证）中医护理质量评价指标体系的框架，共提炼出11个相关主题，其中结构质量维度包含3个主题（中医护理制度与方案、护理人员配置、护理人员培训与考核），过程质量维度包含3个主题（操作技术规范性、辨证施护实施情况、健康宣教实施情况），结果质量维度包含5个主题（中医护理效果、患者疾病知识知晓程度、患者心理状况、患者依从性、患者满意度）。结论本研究基于SPO理论初步构建了包含3个维度、11个主题的SPID（肾虚血瘀证）中医护理质量评价指标体系框架，该框架全面覆盖了SPID（肾虚血瘀证）中医护理质量评价的结构、过程及结果层面，为后续构建具体、可操作的中医护理质量评价体系提供了坚实的理论基础和方向指引。

Objective Based on the structure-process-outcome (SPO) three-dimensional quality structure theory, to preliminarily develop a framework of a traditional Chinese medicine (TCM) nursing quality evaluation index system for sequelae of pelvic inflammatory disease (SPID) (kidney deficiency and blood stasis syndrome) and explore its related themes, so as to provide a theoretical basis and preliminary framework for the subsequent development of a specific and operable evaluation system. Methods A qualitative research method was adopted, in which purposive sampling was used to select 4 nursing experts, 7 frontline nurses, and 7 SPID patients (kidney deficiency and blood stasis syndrome) from a tertiary grade A integrated traditional Chinese and Western medicine hospital for semi-structured interviews. Colaizzi's 7-step method was used to analyze the interview data and extract themes. Results Based on the SPO theoretical framework, the framework of the TCM nursing quality evaluation index system for SPID (kidney deficiency and blood stasis syndrome) was preliminarily developed, and a total of 11 related themes were extracted. Among them, the structural quality dimension included 3 themes (TCM nursing systems and protocols, nursing staff allocation, nursing staff training and assessment); the process quality dimension included 3 themes (mastery of knowledge and skills by nursing staff, implementation of syndrome differentiation-based nursing, implementation of health education); the outcome quality dimension included 5 themes (TCM nursing effect, patients' awareness of disease knowledge, patients' psychological status, patients' compliance, patients' satisfaction). Conclusion Based on the SPO theory, this study preliminarily developed a framework of TCM nursing quality evaluation index system for SPID (kidney deficiency and blood stasis syndrome) including 3 dimensions and 11 themes. This framework comprehensively covers the structure, process, and outcome levels of TCM nursing quality evaluation for SPID (Kidney Deficiency and Blood Stasis Syndrome), providing a solid theoretical foundation and direction guidance for the subsequent development of a specific and operable TCM nursing quality evaluation system.