Objective To construct Chinese culture matched patient outcome evaluation indexes on hospice care based on the harmony nursing theory, so as to provide evidence for objectively evaluating hospice care service quality. Methods A draft patient outcome evaluating indexes on hospice care were formed through theoretical analysis and literature research, which were then improved using a Delphi study among 20 experts. Results Two rounds expert consultation were conducted. The coefficient of judgment, the degree of familiarity and the authority coefficient of experts in the second round consultation were 0.889, 0.856 and 0.877 respectively, the Kendall coefficients of concordance for level Ⅰ to Ⅲ indexes were 0.234, 0.247 and 0.234. The final evaluating indexes were consisted of four levelⅠindexes (physical harmony, psychological harmony, social harmony and spiritual harmony), 9 levelⅡ indexes and 30 level Ⅲ indexes. Conclusion The patient outcome evaluation indexes on hospice care constructed according to the harmony nursing theory have high authority and scientificalness, which can provide objective and practical evidence for hospice care service quality assessment in relevant institutions.