基于ABC整体路径管理的房颤患者射频消融术后"互联网+延续护理"方案的构建

Construction of"Internet+transitional care"scheme for patients with atrial fibrillation after radiofrequency ablation based on ABC overall pathway management

目的构建基于ABC整体路径管理的房颤患者射频消融术后"互联网+延续护理"方案,为房颤患者术后的延续护理提供参考。方法通过文献回顾拟定基于ABC整体路径管理的房颤患者射频消融术后"互联网+延续护理"方案初稿。采用便利抽样法,选取16名专家进行2轮德尔菲专家函询,对方案条目进行调整,最终形成基于ABC整体路径管理的房颤患者射频消融术后"互联网+延续护理"方案终稿。结果2轮专家函询的问卷有效回收率分别为100.00%(16/16)和93.75%(15/16),专家的权威系数分别为0.87和0.88;2轮专家函询的肯德尔和谐系数均具有统计学意义(P<0.05)。最终形成包含出院当日,术后1周以及术后1、3、6个月5个时间节点共70个条目的方案。结论本研究构建的方案具有科学性和可操作性,从3个方面全面地体现了综合管理策略,值得临床应用。

Objective To construct an"Internet+transitional care"scheme for patients with atrial fibrillation after radiofrequency ablation based on ABC overall pathway management,so as to provide reference for the transitional care of patients with atrial fibrillation after surgery.Methods Through literature review,the first draft of"Internet+transitional care"scheme for patients with atrial fibrillation after radiofrequency ablation based on ABC overall path management was developed.The convenient sampling method was adopted,16 experts were selected for two rounds of Delphi expert letter consultations and program items were adjusted.Finally,the final draft of"Internet+transitional care"scheme for patients with atrial fibrillation after radiofrequency ablation based on ABC overall pathway management was formed.Results The effective recovery rates of the two rounds of expert letter consultation were 100.00%(16/16)and 93.75%(15/16),and the authority coefficients were 0.87 and 0.88,respectively.The Kendall's concordance coefficients of the two rounds of expert consultation were statistically significant(P<0.05).Finally,a scheme of 70 items was formed,including the day of discharge,1 week after surgery and 1,3 and 6 months after surgery.Conclusions The scheme constructed in this study is scientific and operable and comprehensively reflects the comprehensive management strategy from three aspects,which is worthy of clinical application.