Abstract:

Objective To establish and apply the nursing quality evaluation indexes of hospital discharge preparation service for patients after emergency PCI，so as to provide the basis for the nursing quality evaluation of hospital discharge preparation service. Methods Based on the "structure-process-result" three-dimensional quality model，literature was systematically searched，and semi-structured interviews were conducted to integrate clinical practice and individual needs of patients to construct the preliminary draft of nursing quality evaluation indicators. Delphi expert consultation method and analytic hierarchy process were used to determine the final index system and the weights. The established nursing quality evaluation index was applied，and the compliance rate of pre-discharge evaluation implementation，the compliance rate of nursing practice implementation，the compliance rate of in-hospital and out-of-hospital transition implementation，the compliance rate of follow-up management implementation，patients and their families’ satisfaction with discharge preparation service were compared before and after the application. Results The evaluation indexes of nursing quality of hospital discharge preparation service for patients after emergency PCI were established，including 3 primary indexes，11 secondary indexes and 50 tertiary indexes. Before and after the implementation of the evaluation indexes，the compliance rate of pre-discharge evaluation implementation was 57.8% and 92.8%，the compliance rate of nursing practice implementation was 85.6% and 95.0%，the compliance rate of in-hospital and out-of-hospital transition implementation was 45.6% and 75.0%，and the compliance rate of follow-up management implementation was 89.4% and 95.6%，respectively. The satisfaction rate of patients and their families on discharge preparation service was 89.4% and 93.3%，respectively. Conclusion The evaluation indexes of nursing quality of discharge preparation service for patients after emergency PCI established in this study is scientific，reliable，comprehensive and practical，and the application of this evaluation index system is conducive to standardizing discharge preparation service and promoting the improvement of nursing quality for specific diseases.

Key words: Acute Myocardial Infarction, Percutaneous Coronary Intervention, Discharge Preparation Service, Quality Evaluation Index, Delphi Method