左心室辅助装置植入患者术后护理专家共识  

Expert consensus on postoperative care of patients with a left ventricular assistant device

作　　者：国家心血管病专家委员会护理专业委员会 马艳 吴荣[3] 张辰[4] 李庆印[4] 黄雨佳 赵明晶 付强 李永刚 王佳妮 Nursing Professional Committee of the National Cardiovascular Disease Expert Committee;MA Yan;WU Rong;ZHANG Chen;LI Qingyin;HUANG Yujia;ZHAO Mingjing;FU Qiang;LI Yonggang;WANG Jiani

机构地区：[1]不详 [2]国家心血管病中心、中国医学科学院阜外医院手供一体中心,北京市100037 [3]国家心血管病中心、中国医学科学院阜外医院成人外科恢复室一区,北京市100037 [4]国家心血管病中心、中国医学科学院阜外医院护理部,北京市100037 [5]国家心血管病中心、中国医学科学院阜外医院心脏康复中心,北京市100037 [6]国家心血管病中心、中国医学科学院阜外医院内科重症病区,北京市100037

出　　处：《中华护理杂志》2024年第14期1687-1690,共4页Chinese Journal of Nursing

基　　金：中央高水平医院临床科研业务费(2023-GSP-HL-1)。

摘　　要：目的形成左心室辅助装置植入患者术后护理专家共识(以下简称“共识”),推动护士规范、安全的为左心室辅助装置植入患者实施术后护理。方法全面回顾国内外左心室辅助装置植入患者护理相关指南、专家共识、系统评价、原始研究等文献及相关疾病诊疗方案等,形成“共识”初稿,通过2轮专家函询和1轮线上专家会议,对各条目进行调整、修改,形成“共识”终稿。结果函询专家应答率为93.75%,2轮函询专家权威系数分别为0.927和0.920,各指标重要性评分均>3.5分,变异系数均<0.25。2轮函询的肯德尔和谐系数分别为0.402和0.407(P<0.01)。通过专家函询及专家会议,形成的终版“共识”涵盖血流动力学监测、左心室辅助装置功能监测、凝血功能监测、经皮缆线的固定及切口护理、运动康复、健康教育、出院前考核7个主题。结论构建的“共识”具有科学性、严谨性和权威性。“共识”内容覆盖左心室辅助装置植入患者术后护理的各个环节,可为左心室辅助装置植入患者术后护理提供参考及指导。Objective To standardize nursing management on postoperative patients with a left ventricular assist-ant device(LVAD).Methods The first draft of the Consensus was formed on the basis of literature review.2 rounds of expert consultations and a round of online meeting discussion were held for adjustments and modifications the draft of the Consensus.Results The recovery rate of the inquiry questionnaire was 93.75%.The authority coefficients of the 2 rounds of inquiry experts were 0.927 and 0.920.The concentration degree of expert opinions for each indicator was greater than 3.5 score,and the coefficient of variation was less than 0.25.The Kendall harmony coefficients for 2 rounds of correspondence were 0.402 and 0.407(P<0.01).The final Consensus formed through expert consultations and meetings includes 7 themes:hemodynamic monitoring,LVAD function monitoring,coagulation function monitoring,percutaneous cable and wound care,exercise rehabilitation care,health education and guidance,and pre-discharge assessment.Conclusion The Consensus is scientific,rigorous,and authoritative.The Consensus covers all aspects of postoperative care for patients with LVAD,and it will benefit to clinical practice.

关 键 词：心力衰竭 左心室辅助装置 术后护理 专家共识 

分 类 号：R473.6[医药卫生—护理学]