摘要目的:构建术后疼痛管理质量评价指标体系，旨在为医院评价术后疼痛管理质量提供有效工具。方法:2017年8月—2018年12月以Donabedian理论为指导，通过文献研究法构建原始指标，通过小组讨论法构建初级指标，采用德尔菲专家咨询法对15名术后疼痛管理专家展开2轮咨询，构建最终指标，并通过层次分析法确定指标权重。结果:构建的术后疼痛管理质量评价指标体系包含3项一级指标、8项二级指标和32项三级指标。结构、过程和结果3项一级指标的权重分别为0.2、0.4、0.4；二级指标中组合权重占前3位的分别为镇痛效果（0.266 7）、疼痛评估与再评估（0.160 0）、镇痛治疗（0.160 0）；三级指标中组合权重占前3位的是中重度活动性疼痛发生率（0.143 9）、中重度静息痛发生率（0.079 2）、镇痛健康教育充分率（0.073 0）。2轮咨询问卷的有效回收率均为100%，专家的积极系数为100%，权威系数为0.915，2轮专家咨询的肯德尔和谐系数分别为0.21、0.25（ P<0.01）。 结论:本研究构建的术后疼痛管理质量评价指标体系内容全面、科学合理，能体现术后疼痛管理多环节及多学科合作的特点，可在临床推广使用。

abstractsObjective:To construct a postoperative pain management quality evaluation index system so as to provide an effective tool for postoperative pain management quality by hospital.Methods:From August 2017 to December 2018, original indexes were built based on Donabedian theory and literature research method, and primary indexes were constructed by group discussion. Delphi method was used to two rounds of consultation among 15 postoperative pain management experts to set up the final indexes, and index weight was defined with the analytic hierarchy process.Results:The postoperative pain management quality evaluation index system included 3 first-level indexes, 8 second-level indexes and 32 third-level indexes. The weights of 3 first-level indexes (structure, process and outcome) were 0.2, 0.4 and 0.4 respectively. Top 3 combined weights of second-level included the antalgic effect (0.266 7) , pain evaluation and re-evaluation (0.160 0) , antalgic therapy (0.160 0) . Top 3 combined weights of third-level included the incidence of moderate-severe active pain (0.143 9) , incidence of moderate-severe rest pain (0.079 2) and the sufficient rate of antalgic health education (0.073 0) . The Kendall coefficient of concordance of two rounds of expert consultation were 0.21 and 0.25 with statistical differences ( P<0.01) . Conclusions:The postoperative pain management quality evaluation index system the has all-round, scientific and reasonable content and can reflect the characteristics of multi-link and multidisciplinary cooperation of postoperative pain management which is worthy of clinical promotion.