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基于社会认知理论的冠心病经皮冠状动脉介入术后Ⅱ期远程家庭心脏康复方案的构建

Establishment of a phase Ⅱ remote home-based cardiac rehabilitation program for patients with coronary heart disease after percutaneous coronary intervention based on social cognitive theory

    摘要
  • 摘要:
    目的 构建基于社会认知理论(SCT)的冠心病(CHD)经皮冠状动脉介入术(PCI)后患者Ⅱ期远程家庭心脏康复(HBCR)方案。
    方法 基于循证文献检索、小组讨论构建基于SCT的CHD行PCI后患者Ⅱ期HBCR方案初稿, 应用德尔菲法专家咨询形成终稿。
    结果 共对18名专家进行了3轮专家函询, 3轮函询的专家权威系数分别为0.86、0.87、0.87, 肯德尔和谐系数分别为0.211、0.242、0.271, 差异均有统计学意义(P < 0.01)。形成的CHD行PCI后患者Ⅱ期HBCR方案包括综合评估、纠正康复认知、完善社会支持、实施路径4个一级条目, 10个二级条目，以及27个三级条目。
    结论 本研究构建的CHD行PCI后患者Ⅱ期远程HBCR方案具有科学性、可靠性，或可为HBCR护理提供指导。

     

    Abstract:
    Objective To establish a phase Ⅱ remote home-based cardiac rehabilitation (HBCR) program for patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI) based on social cognitive theory (SCT).
    Methods A preliminary draft of the phase Ⅱ HBCR program for CHD patients after PCI based on SCT was developed through evidence-based literature review and group discussion, and the final version was formed through Delphi expert consultation.
    Results A total of 18 experts participated in three rounds of expert consultation. The expert authority coefficients for the three rounds were 0.86, 0.87 and 0.87 respectively, and the Kendall's W coefficients were 0.211, 0.242 and 0.271 respectively, with significant differences (P < 0.01). The final phase Ⅱ HBCR program for CHD patients after PCI included four primary items: comprehensive assessment, correction of rehabilitation cognition, improvement of social support, and implementation pathway, with 10 secondary items and 27 tertiary items.
    Conclusion Phase Ⅱ remote HBCR program for CHD patients after PCI constructed in this study is scientific and reliable, and may provide guidance for HBCR nursing.

     

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