护士主导的心脏直视术后患者早期四级活动方案的构建  

Construction of four-level nurse-led early mobilization program for patients after open heart surgery

作　　者：关亚萍 郑薇亮 孙丽军 陈媛 丁洁莹 许佳佳 GUAN Ya-ping;ZHENG Wei-liang;SUN Li-jun;CHEN Yuan;DING Jie-ying;XU Jia-jia(Dept.of Critical Care Medicine,Affiliated Cardiovascular Hospital,Xiamen University,Xiamen 361006,China;Dept.of Nursing Administration,Affiliated Cardiovascular Hospital,Xiamen University,Xiamen 361006,China)

机构地区：[1]厦门大学附属心血管病医院重症医学科,福建厦门361006 [2]厦门大学附属心血管病医院护理部,福建厦门361006

出　　处：《护理学报》2024年第22期67-72,共6页Journal of Nursing（China）

基　　金：厦门市医疗卫生指导性项目(3502Z20209148)。

摘　　要：目的构建护士主导的心脏直视术后患者早期四级活动方案。方法系统检索中国知网、万方、维普、PubMed、Medline、Cochrane Library数据库关于心脏直视术后患者早期活动的相关文献形成护士主导的心脏直视术后患者早期四级活动方案条目池;然后通过专家小组会议对条目池进行修改形成方案的初稿;最后通过2轮德尔菲专家函询形成方案的终稿。结果2轮专家函询有效回收问卷分别为100%、93%;专家权威系数分别为0.900,0.930;肯德尔和谐系数分别为0.127、0.230,均具有统计学意义(P<0.001)。第2轮函询的变异系数为0~0.180,重要性评分为4.230~5.000,最终形成的护士主导的心脏直视术后患者早期四级活动方案包括3项一级指标、8项二级指标、27项三级指标。结论该研究构建的护士主导的心脏直视术后早期四级活动方案具有科学性与可行性,可为临床医护人员提供借鉴。Objective To establish a four-level nurse-led early mobilization program for patients after open heart surgery.Methods We systematically searched CNKI,Wanfang Data,VIP,PubMed,Medline,Cochrane Library for literature on early rehabilitation of patients after open heart surgery and formed a pool of entries for the four-level nurse-led early mobilization program.A panel of experts modified the pool of entries to form the first draft of the program through group meeting,and 2 rounds of expert consultation with Delphi method was conducted to form the final draft of the program.Results The recovery rate of 2 rounds of consultation was 100%and 93%;expert authority coefficient 0.900 and 0.930;and Kendall’s W 0.127 and 0.230,respectively,showing statistical significance(P<0.001).The coefficient of variation of the 2 rounds of consultation ranged from 0 to 0.180,and the importance score from 4.230 to 5.000.The final four-level nurse-led early program for patients after open heart surgery consisted of 3 first-level,8 second-level,and 27 third-level indexes.Conclusion The four-level nurse-led early mobilization program for patients after open heart surgery in this study is scientific and feasible,and can provide guidance for clinical medical workers.

关 键 词：护士主导 心脏直视术后 早期四级活动方案 德尔菲法 

分 类 号：R473.6[医药卫生—护理学]