摘要: |
目的:构建急性冠脉综合征(acute coronary syndrome,ACS)患者接受经皮冠状动脉(冠脉)介入术(percutaneous coronary intervention,PCI)的效果评价指标及综合效果指数。方法:应用德尔菲法结合综合指数法确定评价PCI对ACS疗效的指标及权重。结果:经2轮德尔菲专家咨询,专家积极系数为100%和95.24%,权威系数为0.847和0.871,Kendall协调系数为0.364和0.403(P<0.05)。经综合指数法获得评价指标及权重,其中2项一级指标:急诊模式(0.473)、心导管室模式(0.527),19项二级指标及41项三级指标。结论:本研究构建的PCI治疗ACS的效果评价指标及综合效果指数对开展该项技术的理论与实践具有指导意义,在疗效果评价层面为围术期ACS患者的诊疗与预后提供一定参考依据。 |
关键词: 急性冠脉综合征 经皮冠状动脉介入术 综合指数法 评价指标 |
DOI:10.12025/j.issn.1008-6358.2021.20210194 |
分类号:R541 |
基金项目:复旦大学附属中山医院青年基金(2019ZSQN10). |
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Construction of comprehensive evaluation indexes for percutaneous coronary intervention in acute coronary syndrome |
LING Hua-xing1, QIN Wei2, ZHU Li1, ZHANG Yu-xia2
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1.Cardiac Cath Lab, Zhongshan Hospital, Fudan University, Shanghai 200032, China;2.Department of Nursing, Zhongshan Hospital, Fudan University, Shanghai 200032, China
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Abstract: |
Objective: To construct the evaluation index and comprehensive effect index of percutaneous coronary intervention (PCI) for the acute coronary syndrome (ACS). Methods: The Delphi method combined with the comprehensive index method was used to determine the indicators and weights for evaluating the effect of PCI for ACS. Results: After 2 rounds of Delphi expert consultation, the expert positive coefficients were 100% and 95.24%, the authority coefficients were 0.847 and 0.871, and the Kendall coordination coefficients were 0.364 and 0.403 (P<0.05). Through the comprehensive index method, the evaluation indicators and weights were obtained:2 first-level indicators including emergency mode (0.473) and cardiac catheterization room mode (0.527); 19 second-level indicators; and 41 third-level indicators. Conclusions: The constructed evaluation index and comprehensive effect index of PCI for ACS have guiding significance for the theory and practice of the technology and can provide a certain reference basis for the diagnosis and prognosis of ACS patients during the perioperative period at the level of effect evaluation. |
Key words: acute coronary syndrome percutaneous coronary intervention comprehensive index method evaluation index |