基于HIRAID框架的非創(chuàng)傷性胸痛急診護(hù)理路徑的構(gòu)建

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Construction of emergency nursing pathway for non?traumatic chest pain based on HIRAID framework

CUI Tiantian， TONG Yuping， GAO Yuting， DU Xiaoqing

Nursing College of Shanxi Medical University， Shanxi 030001 China

Corresponding Author  TONG Yuping， E?mail： [email protected]

Abstract  Objective：To construct a emergency nursing pathway for non?traumatic chest pain based on HIRAID framework.Methods：Clinical need was taken as a prerequisite，theoretical framework was taken as the core，and literature research was taken as support，then a preliminary of emergency nursing pathway for non?traumatic chest pain based on HIRAID framework was constructed.2 rounds of expert inquiry were conducted by the Delphi method，the final version of emergency nursing pathway for non?traumatic chest pain was formed.Results：The 19 experts completed 2 rounds of expert inquiry，the response rates were 90.91% and 95.00%，authority coefficients were 0.915 and 0.908，coefficient of variation were ranged from 0.00 to 0.31 and ranged from 0.00 to 0.22，the Kendall coefficient of concordance were ranged from 0.153 to 0.395 and ranged from 0.177 to 0.464（both P<0.001）. The final constructed emergency nursing pathway for non?traumatic chest pain included 3 primary indicators，22 secondary indicators，and 251 tertiary indicators.Conclusions：The emergency nursing pathway for non?traumatic chest pain based on HIRAID framework constructed in this study is reliable，clinically applicable，rigorous，and can provide basis for emergency nursing practice.

Keywords    HIRAID framework； emergency department； non?traumatic chest pain； clinical pathway； evidence?based nursing； Delphi method

摘要  目的：構(gòu)建基于HIRAID框架的非創(chuàng)傷性胸痛急診護(hù)理路徑。（剩余15037字）