重症心力衰竭患者信息化护理路径的构建及管理研究

Construction and Management of intelligent nursing pathway for patients with severe heart failure

目的通过德尔菲法构建重症心力衰竭患者护理路径,并实现护理路径的信息化。方法在文献回顾基础上,初步构建重症心力衰竭患者护理路径,形成专家函询问卷。遴选49名专家进行2轮德尔菲函询。结果2轮专家咨询问卷有效回收率均为100%,权威系数为0.92,两轮函询护理条目变异系数分别为0.071和0.003、肯德尔系数分别为0.188和0.939,专家意见趋于一致,形成重症心力衰竭患者的护理路径。将护理路径嵌入医院信息系统中,各表单及系统综合联动,信息化辅助临床工作。结论重症心力衰竭患者信息化护理路径具有科学性、可靠性,可将常规路径与各模块相结合,为改善护理质量提供保障。

Objective To develop the nursing pathway for severe heart failure patients by Delphi method,and realize the intlligence of the pathway.Methods The preliminary nursing pathway was developed based on literature review and the expert consultation questionnaire was formed.49 experts were selected for two-round consultations.Results The response rate of the two rounds were both 100.0%.The authoritative coefficient was 0.92.The coefficients of variation in the two rounds of consultation were 0.071 and 0.003,and the coordination coefficients were 0.188 and 0.939,respectively.Experts had the consistent opinions to form the nursing pathway for severe heart failure patients.Nursing pathway was embedded in HIS system,all forms and systems were integrated and linked,and it can assist clinical work intelligently.Conclusion The intelligent nursing pathway for patients with severe heart failure is scientific and reliable.It creates a model combining conventional path and each module,which provides a guarantee for the improvement of nursing quality.