Development of a perioperative nursing sensitivity indicator system for flap repair of malignant melanoma

[Objective] To develop a sensitivity indicator system for perioperative nursing care for flap repair of malignant melanoma. [Methods] A research team was established to develop a perioperative nursing sensitivity indicator system for flap repair of malignant melanoma. This was achieved through literature review and the Delphi expert consultation method, using the 'structure-process-outcome' three-dimensional quality evaluation model as the framework. [Results] The authority coefficient of the experts in both rounds of consultations was 0.927, and the positive coefficient was 100%. There were significant differences in the Kendall harmony coefficients of the structure, process, and outcome indicators between the two rounds of consultation (P<0.001). After two consecutive rounds of expert consultations, a sensitive indicator system for perioperative nursing care for flap repair of malignant melanoma was finally established, consisting of 3 first-level indicators, 9 second-level indicators, and 35 third-level indicators. The importance of all indicators exceeded 4.0 points, and the coefficient of variation was lower than 0.25. [Conclusions] The established perioperative nursing sensitivity indicator system for flap repair of malignant melanoma is scientific, reliable, comprehensive, and systematic, providing a scientific and rational assessment tool for the nursing care of patients with malignant melanoma.