心房颤动导管消融围手术期患者体验测量工具的初步构建  

Preliminary construction of a measurement tool for atrial fibrillation patient’s experience of catheter ablation

作　　者：笃铭丽[1] 陈松文[2] 朱丽 姚娴凤[1] 叶磊[1] 刘少稳[2] DU Ming-li;CHEN Song-wen;ZHU Li;YAO Xian-feng;YE Lei;LIU Shao-wen(Department of Nursing,Shanghai General Hospital,Shanghai 200080,China;Cardiovascular Center,Shanghai General Hospital,Shanghai 200080,China;Department of Cardiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]上海市第一人民医院护理部,上海200080 [2]上海市第一人民医院心血管临床医学中心,上海200080 [3]复旦大学附属中山医院心内科,上海200032

出　　处：《复旦学报（医学版）》2024年第2期198-204,共7页Fudan University Journal of Medical Sciences

基　　金：上海申康医院发展中心促进市级医院临床技能与临床创新三年行动计划(2020—2022年)重大临床研究项目(SHDC2020CR4009);上海市第一人民医院特色研究项目(CTCCR-2021C06)。

摘　　要：目的初步构建心房颤动(atrial fibrillation,AF)导管消融围手术期患者体验测量工具,为改善患者围手术期体验提供可量化的依据。方法于2022年6月至2023年4月采用文献分析、质性研究、德尔菲专家咨询及层次分析法,确定房颤导管消融围手术期患者体验测量问卷的内容及各测量内容的权重。结果3轮专家的积极性均为100%,专家的权威系数分别为0.946、0.961、0.976,第2、3轮专家咨询的肯德尔协调系数为0.130、0.370(P<0.001)。初步构建的AF导管消融围手术期患者体验测量工具包含操作及技术质量体验、舒适度管理体验、信息与沟通交流体验、情感支持体验、服务流程与响应体验5个维度,共46个测量条目。结论根据专科特点初步构建的AF导管消融围手术期患者体验测量工具,不仅可以精准化评估患者体验现状,而且可以为有针对性地开展相关改进医疗机构服务质量提供依据。Objective To construct a measurement tool for atrial fibrillation(AF)patients’experience of catheter ablation,in order to provide quantifiable basis for improving the patients’perioperative experience.Methods From Jun 2022 to Apr 2023,literature analysis,qualitative research,Delphi expert consultation,and analytic hierarchy process were used to determine the content and weight of various indicators of the measurement tool.Results The enthusiasm of experts in 3 rounds was 100%.The authority coefficient of experts was 0.946,0.961 and 0.976.The Kendal harmony coefficients of the 2 and 3 rounds of expert consultation was 0.130 and 0.370(P<0.001).The final measurement tool included 46 items and 5 dimensions,including operational and technical quality experience,comfort management experience,information and communication experience,emotional support experience,service process and response experience.Conclusion The preliminary construction of measurement tool for AF patients’experience of catheter ablation,which were based on the features of specialty,could not only evaluate the patients’experience accurately,but also provide a basis for targeted improvement of medical and nursing service quality.

关 键 词：心房颤动(AF) 导管消融术 患者体验 测量工具 德尔菲法 

分 类 号：R473.5[医药卫生—护理学]