Construction of case management index for acute myocardial infarction based on multidisciplinary collaboration
10.3760/cma.j.cn211501-20220608-01787
- VernacularTitle:基于多学科协作的急性心肌梗死个案管理指标体系的构建
- Author:
Jingwen HU
1
;
Tingting LYU
;
Liping LIN
;
Rui LI
Author Information
1. 西安交通大学第一附属医院心内科，西安 710061
- Keywords:
Myocardial infarction;
Interdisciplinary research;
Case management
- From:
Chinese Journal of Practical Nursing
2022;38(35):2775-2781
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a case management index for acute myocardial infarction based on multidisciplinary collaboration, and to provide guidance for the case management of patients with acute myocardial infarction.Methods:From October 2021 to April 2022, a research group with clinical experience was established to initially formulate an index system for acute myocardial infarction case management based on multidisciplinary collaboration after a literature review. After 2 rounds of Delphi expert correspondence, the items of the case management index system were revised according to the opinions of the expert correspondence.Results:Twenty-two experts were interviewed in the first round, and the effective recovery rate of the questionnaire was 95.45%(21/22); in the second round, 21 experts were interviewed, the effective recovery rate of the questionnaire was 100.00%(21/21). The first and the second round of the expert authority coefficient was 0.896 and 0.912, respectively, the coefficient of variation of each item was 0-0.17, Kendall′s coefficient of concordance was 0.20 ( P<0.01), the average importance value of indexes were 4.43-5.00, and the rate of full marks was 38.1%-100.0%. Finally, an acute myocardial infarction case management index system based on multidisciplinary collaboration was established, including 3 primary indexes and 51 secondary indexes. Conclusions:The case management index constructed in this study is scientific and reliable, closely integrated with clinical practice, and has strong clinical practical value.
