The Construction Of Interactive Participation Health Care Scheme For Patients With Percutaneous Coronary Intervention

ObjectiveUnder the background of "Patients for Patient Safety Concept",the research attempts to establish a set of scientific,complete,standardized patients to participate in health care scheme.Participate in patient safety based on patient interaction theory,the research focuses on the group of coronary heart disease patients with PCI,We hope this scheme could provide a way for patients to be involved in self health care,promote the patients’ participation behaviors,so as to provide reference for the continuity of care and clinical practiceMethodsUsing phenomenological research methods,we selected 9 inpatients with coronary heart disease and 9 medical staff in the department of cardiology,through convenience sampling and purpose sampling.We implemented semi-structured interviews from September to November 2020.Colaizzi’s seven-step analysis method was used to collate and analyze the interview data.Under the guidance of interactive patients participating in patient safety,we study the results of qualitative studies,and summarized 15 participation guidelines from three participation strategies "nursing participation,decision-making participation and demanding participation".Then a preliminary scheme of interactive participation in health care for coronary heart disease patients with PCI was established.We conducted two rounds of letter consultation through the Delphi expert letter consultation method.We furtherly modified the content of the constructed system according to the expert opinions.In the end,the scheme of interactive participation in health care for coronary heart disease patients with PCI was finally determined.ResultsThe scheme finally constructed in this study includes three types of participation,15 participating behaviors,and 79 basic contents,each of which is given specific instructions.Twenty-three experts were invited to this study after two rounds of expert letter consultation.The expert authority coefficients were 0.83 and 0.82,respectively,indicating good representativeness and authority.The coordination coefficient of the importance and feasibility of each item is 0.124 and 0.095 respectively,and the expert opinions converge eventually.Conclusions1.Through qualitative interviews with hospitalized patients with coronary heart disease and medical staff in the department of cardiology,three major participation types and 15 participation behaviors of patients with PCI were summarized.Therapeutic and nursing participation is the main type of participation during hospital ization,and the content of demanding participation mainly focuses on the two aspects of participating in doctor-patient communication and participating in inquiry and supervision.During hospitalization,decision-making participation of patients with PCI was mainly under the guidance of doctors.According to the main participatory behaviors of patients during hospitalization,the framework and content of patients’ interactive participatory health care plan were constructed,which could guide and promote the participatory behaviors of patients with PCI.2.At present,there are few studies on interactive participation health care programs for patients with PCI in China.In line with the theory of patient safety interactive participation and the results of qualitative studies,a systematic interactive participation health care plan for patients with PCI was established.The experts of the two rounds of Delphi expert consultation have high enthusiasm and authority,and the results have good reliability and validity.The importance,operability and coordination coefficient of each item are good.The method of this study is scientific and reasonable,which can provide clinical reference for promoting interactive participation in health care behavior of patients with PCI.