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基于GRACE风险评分模型的NSTE-ACS患者分级护理方案的构建

吕晓春 权耀生

现代医药卫生2024,Vol.40Issue(16):2780-2784,5.
现代医药卫生2024,Vol.40Issue(16):2780-2784,5.DOI:10.3969/j.issn.1009-5519.2024.16.018

基于GRACE风险评分模型的NSTE-ACS患者分级护理方案的构建

Construction of graded nursing plan for NSTE-ACS patients based on GRACE risk score model

吕晓春 1权耀生2

作者信息

  • 1. 山西省汾阳医院/山西医科大学附属汾阳医院:心内科,山西 吕梁 032200
  • 2. 山西省汾阳医院/山西医科大学附属汾阳医院:感染性疾病科,山西 吕梁 032200
  • 折叠

摘要

Abstract

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.

关键词

德尔菲法/GRACE风险评分模型/非ST段抬高型急性冠状动脉综合征/分级护理

Key words

Delphi method/GRACE risk score model/Non-ST-segment elevation acute coronary syndrome/Graded nursing

分类

医药卫生

引用本文复制引用

吕晓春,权耀生..基于GRACE风险评分模型的NSTE-ACS患者分级护理方案的构建[J].现代医药卫生,2024,40(16):2780-2784,5.

基金项目

山西省卫生健康委员会基金项目(2023SHFZ13). (2023SHFZ13)

现代医药卫生

1009-5519

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