基于德尔菲法和层次分析法构建冠心病患者PCI术后延续护理成效评价指标  

Construction of the transitional care quality evaluation index for patients with coronary heart disease after percutaneous coronary intervention based on Delphi and analytic hierarchy process

作　　者：何成雨 甘秀妮[1] 王小琳[2] 张恬[1] 谭莲[3] 

机构地区：[1]重庆医科大学附属第二医院护理部,重庆400010 [2]重庆医科大学附属第二医院老年科,重庆400010 [3]重庆医科大学附属第二医院心内科,重庆400010

出　　处：《中华现代护理杂志》2018年第3期249-254,共6页Chinese Journal of Modern Nursing

基　　金：重庆市卫生计生委2016年医学科研计划项目（2016ZDXM008）;重庆医科大学附属第二医院护理骨干科研资助计划

摘　　要：目的构建系统、科学的冠心病患者PCI术后延续护理成效评价指标，并确定指标权重。方法以自我管理理论和奥马哈成效评价系统为理论框架，在文献分析和质性研究的基础上，初步形成冠心病患者PCI术后延续护理成效评价指标。采用德尔菲法对23名专家进行咨询，并通过层次分析法确定各指标权重。结果通过3轮专家咨询，最终确立冠心病患者PCI术后延续护理成效评价指标，包括4项一级指标、16项二级指标、42项三级指标。3轮专家问卷回收率分别为91．3％、81．0％、100．0％，专家权威系数分别为0．87、0．88、0．91。采用层次分析法确定指标权重，4项一级指标权重系数分别为0．489、0．137、0．304、0．070，各级指标c，均小于0．10。结论构建冠心病患者PCI术后延续护理成效评价指标，可以为反馈延续护理实施效果与成效，为延续护理质量的提升提供参考。Objective To establish a systematic and scientific transitional care quality evaluation index for patients with coronary heart disease （CHD） after percutaneous coronary intervention （PCI）, and to determine the weight of the index. Methods Using self management theory and Omaha effectiveness evaluation system as frameworks, the transitional care quality evaluation index for patients with CHD after PCI was basically formed on the basis of literature analysis and qualitative research. Totally 23 experts were consulted by Delphi method, and the weight of each index was determined by analytic hierarchy process （AHP）. Results The quality evaluation index was finally determined after three rounds of expert consultation, composing of 4 first- class indexes, 16 second-class indexes and 42 third-class indexes. The questionnaire recovery rates of the three rounds of consultations were 91.3%, 81.0% and 100.0% respectively. And the authority coefficient of the experts were 0.87, 0.88 and 0.91 respectively. The index weight of various levels were determined by AHP. The weight of 4 first-class indexes were 0.489, 0.137, 0.304 and 0.070 respectively, and the Cr value of indexes of various levels were all less than 0.10. Conclusions The transitional care quality evaluation index for patients with CHD after PCI is established to give feedback on the effects of transitional nursing and to promote the quality of transitional nursing.

关 键 词：冠心病 经皮冠状动脉介入治疗 延续护理 成效评价指标 德尔菲法 层次分析法 

分 类 号：R473.5[医药卫生—护理学]