专科医护远程照护非瓣膜性心房颤动病人介入术后护理评估指标的构建

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Construction of nursing evaluation indicators of specialized medical telecare for patients with non⁃valvular atrial fibrillation after interventional surgery

Abstract  Objective：To construct the nursing evaluation indicators for patients with non⁃valvular atrial fibrillation after interventional surgery，aim to provide reference for remote care in China.Methods：Common nursing issues for patients with non⁃valvular atrial fibrillation after interventional surgery were integrated through literature review and analysis，based on the Omaha problem classification system，relevant nursing issues were sorted and classified，Delphi expert consultation method was used to conduct two consecutive rounds of expert on the included indicators，than constructed the nursing evaluation indicators for patients with non⁃valvular atrial fibrillation after interventional surgery.Results：The recovery rate of the 2 rounds of questionnaires was 100%，the authority coefficient（Cr） of experts was 0.881 and 0.910，and Kendall's W value was 0.711 and 0.821，respectively（P<0.05）.The nursing evaluation indicators for patients with non valvular atrial fibrillation after interventional surgery included 5 first⁃level indicators，16 second⁃level indicators and 62 third⁃level indicators，the coefficient of variation（CV） of each item was<0.25.Conclusion：The nursing evaluation indicators for patients with non⁃valvular atrial fibrillation after interventional surgery constructed is scientific and reliable，not only ensures the feasibility of clinical implementation，but also provides reference for remote care in specialized medical care in China.

Keywords  non⁃valvular atrial fibrillation； left atrial appendage occlusion； telecare； evaluation indicators； nursing

摘要  目的：构建专科医护远程照护非瓣膜性心房颤动病人介入术后护理评估指标体系，旨在为我国远程照护提供参考。（剩余12595字）