基于GRACE风险评分模型的NSTE-ACS患者分级护理方案的构建OA

Objective To construct a graded nursing plan for non-ST-segment elevation acute coronary syndrome(NSTE-ACS)patients based on the global registry of acute comnary events(GRACE)risk score model,and to provide basis for clinical nursing of NSTE-ACS patients.Methods The literatures about NSTE-ACS graded nursing in PubMed,Wanfang Medical Network,CNKI and VIP were retrieved from January 1,2013 to September 30,2018.The related literatures were analyzed in detail,and experts were called to hold group discussions to construct the draft of graded nursing for the NSTE-ACS patients.Delphi method was used to conduct two rounds of consultation with experts,and the items were screened according to the results of expert consultation,and finally the graded nursing plan for the NSTE-ACS patients was determined.Results Fifteen experts were consulted,and the effective response rate was 100.00%in the first round and 14 valid question-naires in the second round,with an effective recovery rate of 93.33%.After two rounds of consultation,the coefficient of variation for each item was 0.12-0.25,the Kendall harmony coefficient was 0.265,and the difference was statistically significant(P<0.05).The mean importance score was 4.11-5.00.Finally,a gra-ded nursing plan based on GRACE risk score model was formed,including three primary indicators and 21 sec-ondary indicators.Conclusion The grading nursing plan for NSTE-ACS patients formed in this study is scien-tific and reliable,and can provide guidance for clinical practice.