摘要目的:构建老年髋部骨折患者出院准备管理指标评价体系，为老年髋部骨折患者的出院准备管理提供参考。方法:以出院准备度的操作性定义为指导，通过文献检索、半结构式访谈和小组讨论，初步拟定老年髋部骨折患者出院准备管理指标评价体系。采用目的抽样法，于2024年7—8月选取22名专家进行2轮专家函询，最终确定老年髋部骨折患者出院准备管理指标评价体系。结果:2轮函询中，问卷有效回收率分别为95.65%（22/23）、100.00%（22/22），意见提出率分别为77.27%（17/22）、40.91%（9/22）；专家权威系数分别为0.955、0.934，肯德尔协调系数分别为0.129、0.104（均 P<0.01）。最终确定老年髋部骨折患者出院准备管理指标评价体系包括4项一级指标、16项二级指标、39项三级指标。 结论:本研究构建的老年髋部骨折患者出院准备管理指标评价体系具有较强的科学性和实用性，可为老年髋部骨折患者的出院准备管理提供参考。

abstractsObjective:To develop an evaluation index system for discharge preparation management in elderly patients with hip fractures, providing a reference for clinical discharge planning.Methods:Guided by the operational definition of discharge readiness, a preliminary index system was constructed through literature review, semi-structured interviews, and expert group discussions. Using purposeful sampling, 22 experts were recruited for two rounds of expert consultation conducted between July and August 2024. The final index system was established based on expert consensus.Results:The effective response rates for the two Delphi rounds were 95.65% (22/23) and 100.00% (22/22) , respectively. The rates of feedback comments were 77.27% (17/22) and 40.91% (9/22) . The expert authority coefficients were 0.955 and 0.934, and the Kendall's coordination coefficients were 0.129 and 0.104, respectively (both P<0.01) . The final index system consisted of four first-level indicators, 16 second-level indicators, and 39 third-level indicators. Conclusions:The constructed evaluation index system demonstrates good scientific rigor and practical applicability. It can serve as a reference for the discharge preparation management of elderly patients with hip fractures.