关键词: 心力衰竭；风险分层筛查；延续护理；德尔菲法；层次分析法

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