以质量求发展,以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (23): 23-28.doi: 10.16460/j.issn1008-9969.2023.23.023

Previous Articles     Next Articles

Construction of nursing unit and management standard in chest pain center

LIU Hong-fei1, WANG Fang2, LI Hui-feng3, CHEN Xiao-he4, TIAN Li4, LI Wei-hua1   

  1. 1. Dept. of Nursing Administration,General Hospital of Southern Theater Command,Chinese People's Liberation Army,Guangzhou 510010,China;
    2. Shijiazhuang People's Hospital, Shijiazhuang 050000;
    3. Guangdong Pharmaceutical University, Guangzhou 510010, China;
    4. Health Science Center, Yangtze University, Jingzhou 434023, China
  • Received:2022-11-17 Online:2023-12-10 Published:2024-01-09

Abstract: Objective To construct the nursing unit construction and management standard of chest pain center, and to provide reference for the nursing construction of chest pain center. Methods The draft of the standard was constructed after literature review and qualitative interview, and the draft was revised after two rounds of expert letter consultation with 25 experts at national level by Delphi method. Results The positive coefficient of the two rounds of expert consultation was 86.2% and 100%; the expert authority coefficient 0.922 and 0.906, and the Kendall coordination coefficient (W) 0.184 and 0.214, respectively (P<0.001). The final standards for the construction and management of nursing units of chest pain center included 5 general principles, 5 first-level indicators (organization construction, environmental settings, equipment and drug configuration, training and assessment, management and standardization), 14 second-level, and 52 third-level indicators. Conclusion The constructed nursing unit construction and management standard in chest pain center is scientific and operable, which can provide clinical guidance for the development of nursing unit in chest pain center.

Key words: chest pain center, construction standard, Delphi method, nursing management

CLC Number: 

  • R47
[1] 赵林度,王柯.胸痛管理:生命健康路径优化[J].科学通报,2021,66(19):2359-2366. DOI:10.1360/TB-2020-1006.
[2] 马丽媛,王增武,樊静,等.《中国心血管健康与疾病报告2021》关于中国高血压流行和防治现状[J].中国全科医学,2022,25(30):3715-3720.DOI:10.12114/j.issn.1007-9572.2022.0502.
[3] 罗婷婷,李东泽,万智.《2021年中国胸痛中心质控报告》解读[J].中国胸心血管外科临床杂志, 2022,29(11):1424-1429. DOI:10.7507/1007-4848.202207064.
[4] 胡大一,丁荣晶.“胸痛中心”建设中国专家共识[J].中华危重症医学杂志(电子版),2011,4(6):381-393. DOI:10.3877/cma.j.issn.1674-6880.2011.06.006.
[5] Siebens K, Moons P, De Geest S, et al.The role of nurses in a chest pain unit[J]. Eur J Cardiovasc Nur, 2016,6(4):265-272. DOI:10.1016/j.ejcnurse.2007.01.095.
[6] 向定成,唐柚青,易绍东, 等. 胸痛中心护理岗位职责与管理[M]. 北京: 人民卫生出版社, 2020.
[7] Breuckmann F, Burt DR, Melching K, et al.Chest pain centers:a comparison of accreditation programs in Germany and the United States[J]. J Evid Based Med, 2015,14(2):67-73. DOI:10.1097/HPC.0000000000000041.
[8] 向定成,于波,苏晞,等. 规范化胸痛中心建设与认证[M]. 北京:人民卫生出版社, 2017.
[9] 中华人民共和国住房和城乡建设部,中华人民共和国国家发展和改革委员会.关于批准发布《综合医院建设标准》的通知:建标[2021]36号[EB/OL].(2021-05-20)[2023-08-10].https://www.mohurd.gov.cn/gongkai/zhengce/zhengcefilelib/202105/20210520_250167.html
[10] 中华人民共和国卫生部.卫生部关于印发《急诊科建设与管理指南(试行)》的通知:卫医政发[2009]50号[EB/OL].(2009-05-25)[2023-08-23].http://www.nhc.gov.cn/bgt/s9509/200906/1239a65af0d04b64af703e9704cf856e.shtml.
[11] 中华人民共和国卫生部.卫生部印发《重症医学科建设与管理指南(试行)》:卫医政发[2009]23号[EB/OL].(2009-02-25)[2023-08-23].https://www.gov.cn/gzdt/2009-02/25/content_1242789.
[12] 陈玉国,张敏,王文君,等. 护士在胸痛中心建设与发展中的作用[J]. 中华急危重症护理杂志,2020,1(1):7-10. DOI:10.3761/j.issn.2096-7446.2020.01.001.
[13] 中国胸痛中心认证工作委员会. 中国胸痛中心认证标准(2015年11月修订)[J].中国介入心脏病学杂志,2016,24(3):121-130. DOI:10.3969/j.issn.1004-8812.2016.03.001.
[14] 潘文彦, 虞正红, 吴溢涛, 等. ICU仪器设备信息化管理系统建设及应用[J]. 护理管理杂志, 2019,19(9):683-686. DOI:10.3969/j.issn.1671-315x.2019.09.018.
[15] 张欣,尹卫,刘巧艳等.妊娠期糖尿病患者血糖管理决策体验的纵向质性研究[J].护理学报,2023,30(12):22-26.DOI:10.16460/j.issn1008-9969.2023.12.022.
[16] 伍琳,孙艳杰.德尔菲法简介及在护理学中的应用现状[J].护理研究,2015,29(29):3599-3601.DOI:10.3969/j.issn.1009-6493.2015.29.006
[17] Zahler D, Lee-Rozenfeld K, Ravid D, et al.Relation of lowering door-to-balloon time and mortality in ST segment elevation myocardial infarction patients undergoing percutaneous coronary intervention[J]. Clin Res Cardiol, 2019,108(9):1053-1058. DOI:10.1007/s00392-019-01438-6.
[18] 龙锐,田俊英,李登位,等. 基于急诊绿色通道患者的院间转诊困境及对策[J]. 中国急救医学, 2021,41(6):498-501. DOI:10.3969/j.issn.1002-1949.2021.06.009.
[19] 霍勇. 《胸痛中心建设与管理指导原则(试行)》的发布具有里程碑式的意义[J].中国介入心脏病学杂志,2017,25(11):627.
[20] 霍继浩,纪燕玲. 一包药在急性ST段抬高心梗院前急救治疗中的应用价值[J]. 北方药学, 2018,15(1):194-195. DOI:10.3969/j.issn.1672-8351.2018.01.169.
[21] 潘锋. 胸痛中心建设不断提升我国胸痛救治能力[J].中国医药导报,2022,19(23):1-4.
[22] 黄春艳,李高叶,卿雅丽,等. 胸痛中心核心科室护士胸痛护理培训需求调查[J]. 护理研究, 2022,36(11):2018-2022. DOI:10.12102/j.issn.1009-6493.2022.11.025.
[23] 孔冉冉,龙锋,易绍东,等.区域协同救治体系建设改变了什么?——中国最早的胸痛中心数据分析[J].中国循环杂志,2022,37(1):39-44. DOI:10.3969/j.issn.1000-3614.2022.01.006.
[24] 朱秀芬,胡蛟龙,李玉梅,等. 时间窗管理对急性ST段抬高型心肌梗死患者救治效率及预后的影响[J]. 黑龙江中医药, 2020,49(6):413-415.
[25] 沈鑫,袁杰,王钊,等. 微信一键启动导管室在急性ST段抬高型心肌梗死救治流程中的应用[J].心肺血管病杂志, 2020, 39(3):255-259.DOI:10.3969/j.issn.1007-5062.2020.03.008.
[1] GUO Lin-fang, ZHANG Pei-li, HOU Xiao-ya, LI Ying, CAO Min, GAO Chao-yue. Construction of online and offline nutrition intervention program for liver cancer patients undergoing chemotherapy [J]. Journal of Nursing, 2025, 32(4): 1-5.
[2] QUAN Yi-ping, CHEN Xia, HU Qiong-dan. Construction of core competency evaluation index system for heart-brain health managers [J]. Journal of Nursing, 2024, 31(9): 5-9.
[3] CHEN Rui, WANG Mei, TANG Xiao-xia, ZHU Ao-xue, MAO Hui-na. Construction of nursing need protocol for cancer patients receiving immune checkpoint inhibitor therapy based on ERG theory [J]. Journal of Nursing, 2024, 31(7): 1-5.
[4] CHEN Fang, YANG Min-fei, YAO Xiao-yue, ZHOU Shi-bo. Construction and practice of intra-hospital nursing security system in designated hospitals for Hangzhou Asian Games [J]. Journal of Nursing, 2024, 31(6): 35-38.
[5] CHEN Jian, XIANG Li-jun, LUO Yan-si, CHEN Jian-hui, CUI Yan-li, LIAO Lin, YAN Ming-yu, ZHANG Xiao-mei. Construction of “Internet +” continuous rehabilitation management program for patients with post-stroke dysphagia [J]. Journal of Nursing, 2024, 31(24): 1-6.
[6] WANG Ting-ting, SHEN Wen-bin, LI Wen-rong, CHEN Ying-ying, SHI Jia-jing, ZHANG Rui, WEI Ya-pei. Evaluation on the construction and operation effect of lymphatic rehabilitation nursing studio construction and practice of lymphatic rehabilitation nursing studio [J]. Journal of Nursing, 2024, 31(23): 45-48.
[7] LI Xiao-mei, TAO Ming, LI Qian-Qian, LI Lin-lin, LI Chun. Construction of symptom management theory-based self-management intervention scheme for neurogenic bladder patients [J]. Journal of Nursing, 2024, 31(22): 61-66.
[8] GUAN Ya-ping, ZHENG Wei-liang, SUN Li-jun, CHEN Yuan, DING Jie-ying, XU Jia-jia. Construction of four-level nurse-led early mobilization program for patients after open heart surgery [J]. Journal of Nursing, 2024, 31(22): 67-72.
[9] DING Li-na, YAO Zhuo-ya, GENG Jun-hui, LI Man-chun, ZHAN Meng, YIN Yue, WANG Jun-feng, YU Li-ying. Construction of quality evaluation index system for hydrogen peroxide low-temperature plasma sterilization in hospitals [J]. Journal of Nursing, 2024, 31(20): 60-66.
[10] ZHANG Guo-chun, LI Hai-yun, CHU Liang-liang, CHENG Xue, WANG Jun-zhi. Development of Knowledge, Belief and Practice Scale for perinatal palliative care of obstetric nurses and its reliability and validity [J]. Journal of Nursing, 2024, 31(2): 6-11.
[11] ZOU Zhao-hua, QINGN Wei, ZHU Mao-cai, ZHANG Ji-quan, YI Zi-han, HU Xiu. Construction of nursing quality-sensitive indicator system for continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(2): 70-74.
[12] LUO Duo-lin, YANG Chun-qing, GAO Ping, HU Qing-wen, XU Xiao-qun. Localization of type 2 diabetes distress assessment system and its reliability and validity [J]. Journal of Nursing, 2024, 31(19): 24-30.
[13] ZHANG Li, LI Fu-hua, GU Xiao-gai, HAO Na, WANG Dan-dan, GUAN Mei-qi. Construction of training program for nurse specialist of inflammatory bowel disease [J]. Journal of Nursing, 2024, 31(19): 31-36.
[14] LIU Yu-wei, ZHANG Pei-li, HOU Xiao-ya, GAO Chao-yue. Construction of multi-level training path for candidates of master of nursing specialist: a healthy aging perspective [J]. Journal of Nursing, 2024, 31(19): 37-41.
[15] GUAN Yan, CHEN Chen, SU Yun-yan, JIN Hua, XIE Xiao-li, HU Yue-xiu, WANG Zhe-yun. Construction of training program for cardiac surgery nurse specialists based on Taylor model [J]. Journal of Nursing, 2024, 31(18): 67-72.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!