基于多学科协作的急性心肌梗死个案管理指标体系的构建  

Construction of case management index for acute myocardial infarction based on multidisciplinary collaboration

作　　者：胡经文[1] 吕亭亭 吝利平 李睿[1] Hu Jingwen;Lyu Tingting;Lin Liping;Li Rui(Department of Cardiology,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China)

机构地区：[1]西安交通大学第一附属医院心内科,西安710061

出　　处：《中国实用护理杂志》2022年第35期2775-2781,共7页Chinese Journal of Practical Nursing

基　　金：陕西省重点研发计划 (2022SF-122)。

摘　　要：目的构建基于多学科协作的急性心肌梗死个案管理指标体系,为开展急性心肌梗死患者个案管理工作提供指导依据。方法2021年10月至2022年4月,成立研究小组,通过文献回顾和专家访谈初步制订基于多学科协作的急性心肌梗死个案管理指标体系。对指标体系进行2轮德尔菲专家函询,根据函询意见对条目进行修改。结果第1轮函询了22名专家,问卷有效回收率为95.45%(21/22);第2轮函询了21名专家,问卷有效回收率100.00%(21/21)。2轮函询专家权威系数分别为0.896和0.912。第2轮函询各条目变异系数为0~0.17,肯德尔和谐系数为0.20(P<0.01),重要性赋值均数为4.43~5.00分,满分率为38.1%~100.0%。最终形成基于多学科协作的急性心肌梗死个案管理指标体系,包括3个一级指标,51个二级指标。结论该研究构建的基于多学科协作的急性心肌梗死个案管理指标体系科学可靠,紧密结合临床,具有较强的临床实用价值。Objective To construct a case management index for acute myocardial infarction based on multidisciplinary collaboration,and to provide guidance for the case management of patients with acute myocardial infarction.Methods From October 2021 to April 2022,a research group with clinical experience was established to initially formulate an index system for acute myocardial infarction case management based on multidisciplinary collaboration after a literature review.After 2 rounds of Delphi expert correspondence,the items of the case management index system were revised according to the opinions of the expert correspondence.Results Twenty-two experts were interviewed in the first round,and the effective recovery rate of the questionnaire was 95.45%(21/22);in the second round,21 experts were interviewed,the effective recovery rate of the questionnaire was 100.00%(21/21).The first and the second round of the expert authority coefficient was 0.896 and 0.912,respectively,the coefficient of variation of each item was 0-0.17,Kendall′s coefficient of concordance was 0.20(P<0.01),the average importance value of indexes were 4.43-5.00,and the rate of full marks was 38.1%-100.0%.Finally,an acute myocardial infarction case management index system based on multidisciplinary collaboration was established,including 3 primary indexes and 51 secondary indexes.Conclusions The case management index constructed in this study is scientific and reliable,closely integrated with clinical practice,and has strong clinical practical value.

关 键 词：心肌梗死 多学科协作 个案管理 

分 类 号：R473.5[医药卫生—护理学]