Construction of capacity management program for patients with chronic heart failure based on evidence-based and Delphi method
10.3760/cma.j.cn115682-20221010-04938
- VernacularTitle:基于循证及德尔菲法构建慢性心力衰竭患者容量管理方案
- Author:
Chengyao GUO
1
;
Xian ZHANG
Author Information
1. 复旦大学附属中山医院护理部，上海 200032
- Keywords:
Heart failure;
Capacity management;
Delphi method;
Program construction
- From:
Chinese Journal of Modern Nursing
2023;29(14):1850-1856
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a capacity management program for patients with chronic heart failure based on evidence-based and Delphi method.Methods:The overall research period was from April to September 2022. Based on evidence summary and semi-structured interviews, a preliminary draft of capacity management program for patients with chronic heart failure was developed through group discussion. From June to September 2022, purposive sampling was used to select 16 cardiology medical experts, cardiology nursing experts, and nutrition experts in Shanghai for two rounds of expert consultation to develop a capacity management program for chronic heart failure patients. The positive coefficient of experts was expressed by the effective recovery rate of the questionnaire, and the authority level of experts was represented by the authority coefficient ( Cr), and the concentration of expert opinions was expressed by the mean of importance assignment and the full score rate, and the degree of coordination of expert opinions was represented by Kendall's W and coefficient of variation. Results:The effective response rates of the two rounds of expert consultation questionnaires were 100.0% (16/16), with expert Cr of 0.908 and 0.917, respectively. The Kendall's W values for the first-level and second-level items in the second round of consultation were 0.354 and 0.367, respectively ( P<0.05). In the second round of consultation, the mean of item importance assignment at all levels was 3.81 to 5.00, with full score rates of 25.0% to 100.0% and coefficients of variation of 0 to 0.24. The final capacity management program for chronic heart failure patients included 6 first-level items and 36 second-level items. Conclusions:The process of constructing a capacity management program for patients with chronic heart failure is scientific and reliable, with comprehensive and specific content. It can provide comprehensive capacity management programs for clinical personnel and patients with chronic heart failure.
