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医院咳喘药学服务门诊药师培训质量评价标准指标体系构建
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葛艳慧 ，陈晓莉，赵晓玉，陈 哲，关克磊，杜书章（郑州大学第一附属医院药学部，郑州 450052）
中图分类号 R952 文献标志码 A 文章编号 1001-0408（2023）21-2649-05
DOI 10.6039/j.issn.1001-0408.2023.21.14

摘 要 目的 构建医院咳喘药学服务门诊（CWPC）药师培训质量评价标准指标体系，为CWPC药师培训师资的选择以及培训方
案的改善提供依据。方法 以柯氏模型为基础，采用德尔菲法对国内10个省份的13家三级甲等医院的15名专家进行函询，建立
CWPC药师培训质量评价标准指标体系。采用层次分析法确定各级指标权重，并根据各级指标权重量化CWPC药师培训质量评
价标准指标体系。结果 专家权威系数为 0.810，判断系数为 0.727，熟悉系数为 0.893。各级指标的肯德尔协调系数为 0.308～
0.687，χ 检验P均小于0.05，说明专家函询结果的一致性高。经过2轮专家函询后，确定了以柯氏模型为基础的CWPC药师培训
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质量评价标准指标体系，包括4个一级指标（学员反应层、学习收获层、行为改善层、培训成果层）、12个二级指标（培训需求、教学
方法、理论知识、实践技能、岗位能力、患者受益等）和44个三级指标（培训目标明确、CWPC核心制度、特殊装置的操作和评价、咳
喘患者治疗相关专业知识、推进CWPC的建设、患者依从性提高等）。结论 构建的医院CWPC药师培训质量评价标准指标体系
具有一定权威性和科学性，为医院CWPC药师培训质量评价提供了科学的理论依据。
关键词 咳喘药学服务门诊；药师；培训质量；评价标准；指标体系；柯氏模型

Development of the index system of the quality evaluation standard for pharmacist training in cough and
wheeze pharmaceutical care outpatient department
GE Yanhui，CHEN Xiaoli，ZHAO Xiaoyu，CHEN Zhe，GUAN Kelei，DU Shuzhang（Dept. of Pharmacy， the First

Affiliated Hospital of Zhengzhou University， Zhengzhou 450052， China）

ABSTRACT OBJECTIVE To establish the index system of quality evaluation standard for pharmacist training in cough and
wheeze pharmaceutical care （CWPC） outpatient department， and to provide a basis for the selection of CWPC pharmacist training
teachers and the improvement of training plans. METHODS Based on Kirkpatrick model， using the Delphi method， a total of 15
experts from 13 tertiary hospitals in 10 provinces in China were consulted to establish the standard index system of the quality
evaluation for CWPC pharmacists training. Analytic hierarchy process （AHP） was adopted to determine the weights of each
indicator and quantify the index system according to the weights of indicators at all levels. RESULTS The coefficient of expert
authority was 0.810， the judgment coefficient was 0.727， and the familiarity coefficient was 0.893. The Kendall coordination
coefficient of each index was 0.308-0.687. The P values of χ test were all less than 0.05， which indicated that the degree of
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coordination of the experts was high. After two rounds of correspondence， Kirkpatrick model-based index system of quality
evaluation standard for CWPC pharmacist training was determined. The index system included 4 first-level indexes （participants’
reaction layer， learning gain layer， behavior improvement layer， training outcome layer）， 12 second-level indexes （such as training
needs， teaching methods， theoretical knowledge， practical skills， job abilities， patient benefits， etc.） and 44 third-level indexes
（such as clear training objectives， core system of CWPC， special device operation and evaluation， professional knowledge related
to the treatment of cough and wheeze patients， promoting the construction of CWPC， improving patient compliance）.
CONCLUSIONS The constructed index system of quality evaluation standard for CWPC pharmacist training has a certain level of
authority and scientificity， and provides a scientific theoretical basis for quality evaluation of CWPC pharmacist training.
KEYWORDS cough and wheeze pharmaceutical care outpatient department； pharmacist； training quality； evaluation standard；
index system； Kirkpatrick model

Δ 基金项目 河南省医学科技攻关计划（联合共建）项目（No.
LHGJ20190271） 2020 年 1 月，中华医学会呼吸病学分会、中国医师
＊第一作者 主管药师，硕士。研究方向：药理学、药事管理。 协会呼吸医师分会、中国药学会药学服务专业委员会启
E-mail：yanhui651587@163.com
动了“呼吸与危重医学（PCCM）咳喘药学服务项目——
# 通信作者 主任药师，博士。研究方向：药理学、药物经济学。
E-mail：dushuzhang911@163.com 咳喘药学服务门诊（cough and wheeze pharmaceutical

中国药房 2023年第34卷第21期 China Pharmacy 2023 Vol. 34 No. 21 · 2649 ·