基于德尔菲法构建ST段抬高型心肌梗死患者急诊救护策略

Establishing an emergency rescue protocol for patients with acute ST-segment elevation myocardial infarction based on the Delphi method

目的构建急性ST段抬高型心肌梗死(STEMI)患者的急诊救护策略。方法在循证基础上,构建急诊救护策略初步框架,应用德尔菲法进行专家函询。结果经过2轮咨询,专家意见趋于一致,2轮咨询问卷的回收率分别为90.00%和100%;权威系数分别为0.85和0.89;专家协调系数为0.340~0.610。最终确立的STEMI急诊救护策略包含3个一级指标、8个二级指标和49个三级指标。结论基于德尔菲法构建的STEMI急诊救护策略,可为临床护理实践提供参考。

Objective To establish an emergency rescue protocol for patients with acute ST-segment elevation myocardial infarction （STEMI）. Methods On the basis of evidence-based medicine methodology, the preliminary framework of STEMI emergency rescue protocol was established, and the experts included in this study were consulted based on the Delphi method, Results After two rounds of consultation, the expertsr opinions reached a consensus. The response rates of the two rounds of consultation were 90% and 100%, and the authority coefficients were 0. 85 and 0. 89 respectively. The experts coordination coefficient was within the range of 0. 340--0.6]0. The final emergency rescue protocol for patients with acute STEMI consisted of 3 first-level indicators, 8 second-level indicators, and 49 third-level indicators. Conclusion The results of the two rounds of consultation were reliable. The e- mergency rescue protocol established for patients with acute STEMI can provide a reference for the selection of special nursing in- tervention measures.