Construction of a risk assessment scale on acute myocardial infarction and reperfusion arrhythmia with percutaneous coronary intervention
10.3760/cma.j.issn.1674-2907.2019.10.013
- VernacularTitle:构建PCI治疗急性心肌梗死发生再灌注心律失常相关风险评估表
- Author:
Xilan ZHAO
1
;
Ming LI
;
Jizhong LIU
;
Xiao LUO
;
Guoli YANG
Author Information
1. 重庆市涪陵中心医院心血管内科 408000
- Keywords:
? Acute myocardial infarction;
? Percutaneous coronary intervention;
? Reperfusion arrhythmia;
? Risk assessment scale;
? Delphi method
- From:
Chinese Journal of Modern Nursing
2019;25(10):1245-1249
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To construct a risk assessment scale for patients with acute myocardial infarction (AMI) and reperfusion arrhythmia after percutaneous coronary intervention (PCI) by Delphi expert consultation at home and abroad. Methods? From 1st January 2017 to 31st December 2017, we preliminarily drew up risk factors related to patients with AMI and reperfusion arrhythmia after PCI by retrieving and analyzing the heart surgery related risk assessment scale at home and abroad; and we confirmed the weight of risk factors by two rounds of expert consultation on scientific nature, suitability and operability of risk factors with the method of Delphi method and the expert evaluation method. Results? The recovery rates of questionnaire were 90% and 95% respectively in two rounds of expert consultation, and the authority coefficient was 0.89 and 0.93. The risk assessment scale constructed for patients with AMI and reperfusion arrhythmia after PCI included 3 first-level risk factors, 13 second-level risk factors. Among weight of risk factors by two rounds of expert consultation, the variation coefficients were all less than 0.2, and the coordination coefficient ranged from 0.20 to 0.34. Conclusions? All the experts participating in the investigation are positive with the high consistency of expert opinion, good coordination, professional representativeness and high authority. The constructed risk assessment scale can effectively assess the risk of AMI patients after PCI, reduce the processing time of reperfusion arrhythmia, enhance the ability of nurses to predict the reperfusion arrhythmia of those patients so as to early decrease the incidence of reperfusion risk.
