急性心肌梗死患者经皮冠状动脉介入术后延续护理 质量指标的构建

Construction of continuous nursing quality indicators after percutaneous coronary intervention in patients with acute myocardial infarction

目的构建急性心肌梗死患者经皮冠状动脉介入术后延续护理质量指标体系(以下简称延续护理质量指标体系).方法在广州护理学会心血管病护理专业委员会的支持下,采用文献分析、德尔菲法和层次分析法,确定延续护理质量指标及各指标权重.结果2轮函询中问卷回收率分别为100%和95.83%,有效率均为100%;专家权威系数分别为0.866和0.891;专家意见的肯德尔和谐系数分别为0.241和0.235.最终确定了延续护理质量指标体系,包括一级指标3项、二级指标8项和三级指标32项,并确定了各指标权重.结论延续护理质量指标体系可靠性较好.

Objective To establish the quality index system of continuous nursing after percutaneous coronary intervention in patients with acute myocardial infarction.Methods With the support of the Cardiovascular Nursing Committee of Guangzhou Nursing Society,we used literature analysis,Delphi method and analytic hierarchy process to determine the quality indicators of continuing nursing after percutaneous coronary intervention in patients with acute myocardial infarction and indicator weights.Results In the two rounds of inquiries,the questionnaire recovery rate was 100%and 95.83%,the effective rate was 100%,and the expert authority coefficient was 0.866 and 0.891,respectively.The Kendall Harmony Coefficient of expert opinion was 0.241 and 0.235,respectively.Finally,the index system of continuing nursing quality after percutaneous coronary intervention in patients with acute myocardial infarction was established,including three first-level indicators,eight second-level indicators and 32 thirdlevel indicators,and the weight of each indicator was determined.Conclusion Continuous nursing quality index system for patients with acute myocardial infarction after percutaneous coronary intervention is reliable.