主管:国家卫生健康委员会
主办:国家卫生计生委医院管理研究所
中国科学引文数据库(CSCD)来源期刊
中国科技论文统计源期刊 中国科技核心期刊
《中文核心期刊要目总览》入选期刊

Chinese Nursing Management ›› 2025, Vol. 25 ›› Issue (1): 47-52.doi: 10.3969/j.issn.1672-1756.2025.01.010

• Research Papers • Previous Articles     Next Articles

Construction of risk stratification screening indexes for transitional care in patients with Chronic Heart Failure

ZENG Meiling, LIU Juan, DING Wen, WANG Ru, ZHANG Ziying   

  1. Department of Cardiovascular Medicine, Jiujiang University Second Affiliated Hospital, Jiujiang, Jiangxi province, 332005, China
  • Online:2025-01-15 Published:2025-01-15
  • Contact: E-mail:1462167721@qq.com

Abstract: Objective: To establish risk stratification screening indicators for transitional care in patients with Chronic Heart Failure (CHF), and to provide the basis for risk stratification assessment of transitional care for patients with CHF after discharge. Methods: With the biological-psycho-social medical model as the theoretical framework, literature analysis, research group discussion and Delphi method were used to construct the risk stratification screening indicators for transitional care in patients with CHF. The weight and risk rating of each indicator were determined by the analytic hierarchy process and ABC classification, and a pre-survey was carried out. Results: A total of 2 rounds of expert letter consultation were completed, the positive degree of experts was 88.89% and 100.00%, and the expert authority coefficient was 0.92 and 0.93, respectively. The coordination coefficient of indicators at all levels in the second round of expert letter consultation was 0.377 and 0.130, respectively (all P<0.05). A total of 1 indicator was modified in the pre-survey. Finally, 3 primary indicators (physiological factors of disease, psychosocial factors and treatment factors) and 18 secondary indicators were determined. Conclusion: The risk stratification screening index for transitional care of patients with CHF established in this study is scientific and reliable, which can effectively identify patients with different risk in transitional care, to provide the basis for the implementation of hierarchical transitional care.

Key words: heart failure; risk stratification screening; transitional care; Delphi method; analytic hierarchy process

CLC Number: R47;R197