ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
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 >

2024 , Vol. 5 >Issue 5: 455 - 460

DOI: https://doi.org/10.3761/j.issn.2096-7446.2024.05.013

质量与安全

重症心力衰竭患者信息化护理路径的构建及管理研究

  • 吴筱筱 ,
  • 李茹 ,
  • 季诗明 ,
  • 杨洋 ,
  • 武杰 ,
  • 张辰
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  • 100037 北京市 中国医学科学院阜外医院护理部（吴筱筱,张辰）,ICU（李茹）,HFCU（季诗明,武杰）,CCU（杨洋）
吴筱筱：女,硕士,主管护师,E-mail：buduan.chaoyue@163.com

收稿日期: 2023-06-14

  网络出版日期: 2024-05-14

基金资助

国家卫生健康委立项课题（2022-GSP-QZ-8）

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Construction and management of intelligent nursing pathway for patients with severe heart failure

  • WU Xiaoxiao ,
  • LI Ru ,
  • JI Shiming ,
  • YANG Yang ,
  • WU Jie ,
  • ZHANG Chen
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Received date: 2023-06-14

  Online published: 2024-05-14

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摘要

目的 通过德尔菲法构建重症心力衰竭患者护理路径,并实现护理路径的信息化。方法 在文献回顾基础上,初步构建重症心力衰竭患者护理路径,形成专家函询问卷。遴选49名专家进行2轮德尔菲函询。结果 2轮专家咨询问卷有效回收率均为100%,权威系数为0.92,两轮函询护理条目变异系数分别为0.071和0.003、肯德尔系数分别为0.188和0.939,专家意见趋于一致,形成重症心力衰竭患者的护理路径。将护理路径嵌入医院信息系统中,各表单及系统综合联动,信息化辅助临床工作。结论 重症心力衰竭患者信息化护理路径具有科学性、可靠性,可将常规路径与各模块相结合,为改善护理质量提供保障。

关键词： 心力衰竭; 危重病; 临床路径; 德尔菲技术

本文引用格式

吴筱筱 , 李茹 , 季诗明 , 杨洋 , 武杰 , 张辰 . 重症心力衰竭患者信息化护理路径的构建及管理研究[J]. 中华急危重症护理杂志, 2024 , 5(5) : 455 -460 . DOI: 10.3761/j.issn.2096-7446.2024.05.013

Abstract

Objective To develop the nursing pathway for severe heart failure patients by Delphi method,and realize the intelligence of the pathway. Methods The preliminary nursing pathway was developed based on literature review and the expert consultation questionnaire was formed. 49 experts were selected for two-round consultations. Results The response rate of the two rounds were both 100.0%. The authoritative coefficient was 0.92. The coefficients of variation in the two rounds of consultation were 0.071 and 0.003,and the coordination coefficients were 0.188 and 0.939,respectively. Experts had the consistent opinions to form the nursing pathway for severe heart failure patients. Nursing pathway was embedded in HIS system,all forms and systems were integrated and linked,and it can assist clinical work intelligently. Conclusion The intelligent nursing pathway for patients with severe heart failure is scientific and reliable. It creates a model combining conventional path and each module,which provides a guarantee for the improvement of nursing quality.

Key words： Heart Failure; Critical Illness; Critical Pathways; Delphi Technique

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