摘要
目的以奥马哈系统理论为框架,构建适用于冠心病患者的护理干预方案,为临床冠心病患者的专科化护理提供依据。方法以奥马哈系统中的问题分类系统及干预系统为理论依据,在回顾病历的基础上初步建立冠心病患者的专科护理干预计划,通过Delphi法对其进行修改。结果回顾病历结合奥马哈系统理论,初步制订冠心病患者护理干预方案。对干预方案进行专家函询2轮,2轮函询的专家积极系数分别为91.67%、93.94%,权威系数为0.92,肯德尔和谐系数分别为0.34、0.47,最终确定出冠心病患者专科护理干预计划。结论基于奥马哈理论构建的冠心病患者护理干预计划具有较好的理论基础,并得到了专家的一致认可。
Objective To construct a nursing intervention program for patients with coronary heart disease based on the theory of Omaha intervention system,and to provide evidence for the specialist nursing of patients with coronary heart disease.Methods Based on the Omaha intervention system,the specialist nursing intervention plan for patients with coronary heart disease was preliminarily established on the basis of reviewing the medical records,and was modified by the Delphi method.Results Reviewing the medical records combined with the Omaha intervention system,preliminary development of nursing intervention programs for patients with coronary heart disease.The expert inquiry letter of the intervention program was 2 rounds,and the expert positive coefficients of the 2 rounds of inquiry letters were 91.67%and 93.94%,the authoritative coefficient was 0.92,and the Kendall Harmony Coefficient was 0.34 and 0.47 respectively.The specialist nursing intervention for patients with coronary heart disease was finally determined.Conclusion The nursing intervention plan for patients with coronary heart disease based on Omaha theory has a good theoretical basis and has been unanimously recognized by experts.
作者
李洁琼
张蜜
张蜜
刘美丽
韩娟
胡经文
李小妹
Li Jieqiong;Zhang Mi;Zhang Mi;Liu Meili;Han Juan;Hu Jingwen;Li Xiaomei(Nursing Department,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Nursing,Shaanxi University of Chinese Medicine,Xianyang 712000,China;Department of Nursing,Yan′an University,Yan′an 716000,China;Department of Nursing,Health Science Center,Xi′an Jiaotong University,Xi′an 710061,China)
出处
《中国实用护理杂志》
2020年第3期161-169,共9页
Chinese Journal of Practical Nursing
基金
陕西省创新能力支撑计划(2018KRM128)。
关键词
奥马哈系统
冠状动脉疾病
干预方案
专家询函
Omaha system
Coronary artery disease
Intervention program
Expert inquiry
作者简介
通信作者:李小妹,Email:roselee@xjtu.edu.cn,电话:029-85323227。
