急诊经皮冠状动脉介入治疗患者早期心脏康复护理方案的构建

目的 构建急诊经皮冠状动脉介入治疗患者早期心脏康复护理方案,为急性心肌梗死患者急诊行经皮冠状动脉介入治疗术后进行早期心脏康复护理提供借鉴。 方法 成立研究小组,在文献回顾的基础上结合临床经验,初步制订急诊经皮冠状动脉介入治疗患者早期心脏康复护理方案。方案进行2轮德尔菲专家函询,根据专家函询的意见对条目进行修改。 结果 第1轮函询了16名专家,问卷有效回收率为100%;第2轮函询了16名专家,问卷有效回收率为93.75%。专家权威系数为0.875,第2轮各条目变异系数为0.09~0.21,肯德尔和谐系数为0.64（P<0.001）,重要性赋值均数为4.27~4.80。最终形成急诊经皮冠状动脉介入治疗患者早期心脏康复护理方案,包括运动康复、康复进阶方式、健康宣教、日常生活指导、能量消耗5项一级指标,56项二级指标。 结论 该研究构建的早期心脏康复护理方案科学可靠,紧密结合临床,具有较强的临床实用价值。

Construction of an early cardiac rehabilitation nursing practice program for patients after emergency percutaneous coronary intervention

Objective To construct an early cardiac rehabilitation nursing practice program for patients after emergency percutaneous coronary intervention（PCI）,and provide a reference for early cardiac rehabilitation in patients with acute myocardial infarction after emergency PCI. Methods A research team was established to formulate a draft of the early cardiac rehabilitation nursing practice program for patients with emergency PCI based on the literature review combined with clinical experience. 2 rounds of Delphi expert letter inquiries were conducted,and the items based on the opinions of the expert letter inquiries were modified. Results In the first round,16 experts were consulted,and the effective response rate of the questionnaire was 100%.In the second round,16 experts were consulted,and the effective response rate of the questionnaire was 93.75%. The expert authority coefficient was 0.875;the coefficient of variation of items in the second round was 0.09~0.21;the Kendall’s concordance coefficient was 0.64（P<0.001）;the importance value was 4.27~4.80. Eventually,a nursing practice program for early cardiac rehabilitation for patients after emergency PCI was formed,including 5 first-level indicators（exercise rehabilitation,advanced rehabilitation methods,health education,daily life guidance,and energy consumption） and 56 secondary indicators. Conclusion The early cardiac rehabilitation nursing practice program constructed in this study is scientific,reliable and closely integrated with the clinical practice,with strong theoretical bases and clinical practical value.