Construction of early fluid resuscitation management evaluation system for acute pancreatitis

Objective To establish an early fluid resuscitation evaluation system for patients with acute pancreatitis (AP), in order to standardize clinical fluid resuscitation behavior and promote the best outcome of patients.

Methods Based on the "structure-process-result" three-dimensional quality evaluation model, combined with literature analysis, expert conference method, Delphi method and analytic hierarchy process, the AP early liquid recovery evaluation system was established and the weights of each index were determined.

Results The effective recovery rate of the two rounds of questionnaire was 100%, the expert authority coefficient was 0.84 and 0.89, and the Kendall harmony coefficient was 0.239 and 0.261. Finally, the index evaluation system of AP early liquid resuscitation included 3 primary indexes, 9 secondary indexes and 25 tertiary indexes.

Conclusion The established AP early fluid resuscitation management evaluation system is scientific and practical, which can effectively evaluate the execution quality of AP early fluid resuscitation in hospitals, and can promote the continuous optimization of clinical nursing quality.