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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (22): 67-72.doi: 10.16460/j.issn1008-9969.2024.22.067

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Construction of four-level nurse-led early mobilization program for patients after open heart surgery

GUAN Ya-pinga, ZHENG Wei-lianga, SUN Li-juna, CHEN Yuanb, DING Jie-yinga, XU Jia-jiaa   

  1. a. Dept. of Critical Care Medicine; b. Dept. of Nursing Administration, Affiliated Cardiovascular Hospital, Xiamen University, Xiamen 361006, China
  • Received:2024-05-27 Online:2024-11-25 Published:2024-12-04

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Abstract: Objective To establish a four-level nurse-led early mobilization program for patients after open heart surgery. Methods We systematically searched CNKI, Wanfang Data, VIP, PubMed, Medline, Cochrane Library for literature on early rehabilitation of patients after open heart surgery and formed a pool of entries for the four-level nurse-led early mobilization program. A panel of experts modified the pool of entries to form the first draft of the program through group meeting, and 2 rounds of expert consultation with Delphi method was conducted to form the final draft of the program. Results The recovery rate of 2 rounds of consultation was 100% and 93%; expert authority coefficient 0.900 and 0.930; and Kendall's W 0.127 and 0.230, respectively, showing statistical significance (P<0.001). The coefficient of variation of the 2 rounds of consultation ranged from 0 to 0.180, and the importance score from 4.230 to 5.000. The final four-level nurse-led early program for patients after open heart surgery consisted of 3 first-level, 8 second-level, and 27 third-level indexes. Conclusion The four-level nurse-led early mobilization program for patients after open heart surgery in this study is scientific and feasible, and can provide guidance for clinical medical workers.

Key words: nurse-led, post-open heart surgery, four-level early mobilization program, Delphi method

CLC Number: 

  • R473.6
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