ISSN 2096-7446　CN 10-1655/R
主管：中国科协技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2020, Vol. 1 ›› Issue (1): 69-74.

• 临床研究 • 上一篇    下一篇

急性心肌梗死患者经皮冠状动脉介入术后延续护理质量指标的构建

刘雪梅 于红静 顾玉琴 凌冬兰 黎婉婷 卢青云   

  • 出版日期:2020-01-10 发布日期:2020-01-22

Construction of continuous nursing quality indicators after percutaneous coronary intervention in patients with acute myocardial infarction

LIU Xuemei，YU Hongjing，GU Yuqin，LING Donglan，LI Wanting，LU Qingyun   

  • Online:2020-01-10 Published:2020-01-22

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摘要： 目的 构建急性心肌梗死患者经皮冠状动脉介入术后延续护理质量指标体系（以下简称延续护理质量指标体系）。 方法 在广州护理学会心血管病护理专业委员会的支持下，采用文献分析、德尔菲法和层次分析法，确定延续护理质量指标及各指标权重。 结果 2轮函询中问卷回收率分别为100%和95.83%，有效率均为100%；专家权威系数分别为0.866和0.891；专家意见的肯德尔和谐系数分别为0.241和0.235。 最终确定了延续护理质量指标体系，包括一级指标3项、二级指标8项和三级指标32项，并确定了各指标权重。 结论 延续护理质量指标体系可靠性较好。

关键词: 心肌梗死, 经皮冠状动脉介入治疗, 延续护理, 护理质量审核, 质量指标, 卫生保健

Abstract: Objective To establish the quality index system of continuous nursing after percutaneous coronary in-tervention in patients with acute myocardial infarction. Methods With the support of the Cardiovascular Nursing Committee of Guangzhou Nursing Society，we used literature analysis，Delphi method and analytic hierarchy process to determine the quality indicators of continuing nursing after percutaneous coronary intervention in patients with acute myocardial infarction and indicator weights. Results In the two rounds of inquiries，the questionnaire recov-ery rate was 100% and 95.83%，the effective rate was 100%，and the expert authority coefficient was 0.866 and 0.891，respectively. The Kendall Harmony Coefficient of expert opinion was 0.241 and 0.235袁respecti ely. Finally，the index system of continuing nursing quality after percutaneous coronary intervention in patients with acute my-ocardial infarction was established，including three first-level indicators，eight second-level indicators and 32 third-level indicators，and the weight of each indicator was determined. Conclusion Continuous nursing quality index system for patients with acute myocardial infarction after percutaneous coronary intervention is reliable.

Key words: Myocardial Infarction, Percutaneous Coronary Intervention （PCI）, Continuous Nursing, Nursing Audit, Quality Indicators, Health Care