基于HIRAID框架的非创伤性胸痛急诊护理路径的构建

Construction of emergency nursing pathway for non⁃traumatic chest pain based on HIRAID framework

目的:构建基于HIRAID框架的非创伤性胸痛急诊护理路径。方法:以临床需求为前提、理论框架为核心、文献研究为支撑构建基于HIRAID框架的非创伤性胸痛急诊护理路径初稿,采用德尔菲法进行2轮专家函询,形成最终版非创伤性胸痛急诊护理路径。结果:19名专家完成2轮专家函询,专家函询问卷回收率分别为90.91%和95.00%,专家权威系数分别为0.915和0.908,专家函询变异系数为0.00~0.31和0.00~0.22,肯德尔和谐系数分别为0.153~0.395和0.177~0.464(均P<0.001),最终形成的非创伤性胸痛急诊护理路径包含3项一级指标、22项二级指标、251项三级指标。结论:构建的基于HIRAID框架的非创伤性胸痛急诊护理路径具有可靠性、临床适用性和严谨性,可为急诊护理实践提供依据。

Objective:To construct a emergency nursing pathway for non⁃traumatic chest pain based on HIRAID framework.Methods:Clinical need was taken as a prerequisite,theoretical framework was taken as the core,and literature research was taken as support,then a preliminary of emergency nursing pathway for non⁃traumatic chest pain based on HIRAID framework was constructed.2 rounds of expert inquiry were conducted by the Delphi method,the final version of emergency nursing pathway for non⁃traumatic chest pain was formed.Results:The 19 experts completed 2 rounds of expert inquiry,the response rates were 90.91%and 95.00%,authority coefficients were 0.915 and 0.908,coefficient of variation were ranged from 0.00 to 0.31 and ranged from 0.00 to 0.22,the Kendall coefficient of concordance were ranged from 0.153 to 0.395 and ranged from 0.177 to 0.464(both P<0.001).The final constructed emergency nursing pathway for non⁃traumatic chest pain included 3 primary indicators,22 secondary indicators,and 251 tertiary indicators.Conclusions:The emergency nursing pathway for non⁃traumatic chest pain based on HIRAID framework constructed in this study is reliable,clinically applicable,rigorous,and can provide basis for emergency nursing practice.