择期PCI术后患者Ⅰ期心脏康复护理质量评价指标体系的构建  

Construction of a nursing quality evaluation index system for phaseⅠ cardiac rehabilitation of patients undergoing selective PCI

作　　者：徐廷廷 赵春艳[3] Xu Tingting;Zhao Chunyan(School of Medicine,Tongji University,Shanghai 200092,China;Department of Cardiovascular,East Hospital Affiliated to Tongji University,Shanghai 200120,China;Nursing Department,East Hospital Affiliated to Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学医学院,上海200092 [2]同济大学附属东方医院心血管内科,上海200120 [3]同济大学附属东方医院护理部,上海200120

出　　处：《中华现代护理杂志》2024年第4期433-439,共7页Chinese Journal of Modern Nursing

基　　金：上海市东方医院(同济大学附属东方医院)领航人才培养计划(2019hllhrcjh);上海市东方医院天使计划暨青年护士成长计划(DFTS-2231)。

摘　　要：目的构建择期PCI术后患者Ⅰ期心脏康复护理质量评价指标体系, 为评价心脏康复护理质量提供依据。方法以"要素-环节-终末"三维质量结构模式为理论框架, 通过文献分析拟订择期PCI术后患者Ⅰ期心脏康复护理质量评价指标体系初稿, 于2022年6—8月选取16名专家进行2轮专家函询, 确定指标内容。结果 2轮专家函询问卷有效回收率均为100.00%;专家权威系数分别为0.87、0.88;肯德尔和谐系数分别为0.162、0.211(P<0.01)。最终构建的择期PCI术后Ⅰ期心脏康复护理质量评价指标包括一级指标3项、二级指标7项和三级指标41项。结论本研究构建的择期PCI术后患者Ⅰ期心脏康复护理质量评价指标体系具有科学性和可靠性, 为评价心脏康复护理质量提供依据。Objective To construct a nursing quality evaluation index system for phaseⅠcardiac rehabilitation of patients undergoing selective percutaneous coronary intervention(PCI),providing a basis for evaluating the nursing quality of cardiac rehabilitation.Methods Based on the theoretical framework of the three-dimensional quality structure model of"structure,process and outcome",a preliminary draft of the nursing quality evaluation index system for phaseⅠcardiac rehabilitation of patients undergoing selective PCI was developed through literature review.From June to August 2022,16 experts were selected for two rounds of expert consultations to determine the content of the indicators.Results In two rounds of expert consultations,the effective response rate of the questionnaire was 100.00%.The expert authority coefficients were 0.87 and 0.88,respectively.The Kendall harmony coefficients were 0.162 and 0.211(P<0.01),respectively.The final nursing quality evaluation index system for phaseⅠcardiac rehabilitation of patients undergoing selective PCI included three first-level indicators,seven second-level indicators,and 41 third-level indicators.Conclusions The nursing quality evaluation index system for phaseⅠcardiac rehabilitation of patients undergoing selective PCI constructed is scientific and reliable,which can provide a basis for evaluating the nursing quality of cardiac rehabilitation.

关 键 词：血管成形术 经腔 经皮冠状动脉 Ⅰ期心脏康复 护理质量 指标体系 德尔菲法 

分 类 号：R473.5[医药卫生—护理学]