Constructing follow-up indicators for postoperative patients with aortic dissection based on the Omaha problem classification system
ZHENG Donglian
JI Shuangdui
MA Fuzhen
MA Shilin
ZHANG Zhuying
GUO Shuping
Abstract：Objective:To construct follow-up indicators for patients with aortic dissection(AD)after surgery,standardize the management of patient follow-up during the rehabilitation period,timely discover and solve health-related problems during the disease recovery period,and provide reference for formulating and improving follow-up support decisions for AD patients.Methods:Based on the Omaha problem classification system,combined with literature analysis and semi-structured interviews,the follow-up nursing needs of AD postoperative patients during the rehabilitation period were extracted,and preliminary follow-up indicators were formed.From December 2022 to February 2023,16 experts were selected for two rounds of letter consultation to form a follow-up index system for patients after AD surgery,and the final draft was revised according to expert opinions.Results:The positive coefficients of two rounds of consultation were 88.89%and 93.75%,respectively.The expert authority coefficient was 0.900 and 0.919.Kendall harmony coefficient was 0.223,0.467(P<0.001).Finally,a follow-up index of AD patients'rehabilitation period was formed,which included 4 primary indexes,18 secondary indexes and 51 tertiary indexes.Conclusion:The follow-up indexes established in this study are scientific and practical,which can provide reference for clinical nurses to carry out follow-up work and support health education decision-making.
Keywords：aortic dissectionrehabilitation reriodindex systemproblem classification systemfollow-upDelphi technologynursing
Publication Date：2025-03-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 1045-1051 )