中国文化背景下心力衰竭缓和医疗照护服务内容的构建

Construction of the Chinese culture oriented palliative care content for people with heart failure

目的构建中国文化背景下心力衰竭缓和医疗照护服务内容，为其在中国的发展提出思考。方法在文献研究、专家访谈基础上，通过2轮Delphi专家函询构建服务内容。结果系统检索中英文常用医学数据，根据相关标准纳入102篇文献。访谈13名相关领域专家，共提取分析单元525个。最终形成中国文化背景下心力衰竭缓和医疗照护服务内容，包括4个一级指标、10个二级指标、42个三级指标。2轮专家积极系数均为100％，专家权威系数分别为0．82和0．83，Kendall形协调系数0．14—0．40（P〈0．01）。结论本研究构建的服务内容将为以患者受益为目标的、融入缓和医疗照护理念的、符合中国国情的心力衰竭管理新模式的发展提出思考。

Objective To explore the Chinese cuhure oriented palliative care content for people with heart failure. Methods After a comprehensive literature review and expert interviews, two-round expert consultation was conducted to confirm the Chinese culture oriented palliative care content indicators for people with heart failure. Results A scientific literature review was performed and finally 102 articles were included. Totally 13 experts were interviewed and 525 meaning units were identified in the interviews. The Chinese culture oriented palliative care content for people with heart failure contained 4 first-grade indicators, 10 second-grade indicators and 42 third-grade indicators. The expert＇s enthusiasm of the two rounds of expert consultation were both 100%, the authoritative coefficient were 0.82 and 0.83, the coordination coefficient of Kendall＇ s W were 0.14 to 0.40 （P〈0.01）. Conclusions The Chinese culture oriented palliative care content for people with heart failure contributes to the development of new models for integrated heart failure care and palliative care which set with Chinese culture.