Construction of the transitional care quality evaluation index for patients with coronary heart disease after percutaneous coronary intervention based on Delphi and analytic hierarchy process
Chengyu He, Xiuni Gan, Xiaolin Wang, Tian Zhang, Lian Tan · Zhonghua xiandai huli zazhi · 2018
Objective To establish a systematic and scientific transitional care quality evaluation index for patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI) , and to determine the weight of the index. Methods Using self management theory and Omaha effectiveness evaluation system as frameworks, the transitional care quality evaluation index for patients with CHD after PCI was basically formed on the basis of literature analysis and qualitative research. Totally 23 experts were consulted by Delphi method, and the weight of each index was determined by analytic hierarchy process (AHP) . Results The quality evaluation index was finally determined after three rounds of expert consultation, composing of 4 first-class indexes, 16 second-class indexes and 42 third-class indexes. The questionnaire recovery rates of the three rounds of consultations were 91.3%, 81.0% and 100.0% respectively. And the authority coefficient of the experts were 0.87, 0.88 and 0.91 respectively. The index weight of various levels were determined by AHP. The weight of 4 first-class indexes were 0.489, 0.137, 0.304 and 0.070 respectively, and the Cr value of indexes of various levels were all less than 0.10. Conclusions The transitional care quality evaluation index for patients with CHD after PCI is established to give feedback on the effects of transitional nursing and to promote the quality of transitional nursing. Key words: Coronary heart disease; Percutaneous coronary intervention; Transitional nursing; Evaluating indicators; Delphi method; Analytic hierarchy process