林佳.冠状动脉搭桥患者术中护理质量敏感性指标的研究进展[J].上海护理,2025,25(6):
冠状动脉搭桥患者术中护理质量敏感性指标的研究进展
Research Progress on Intraoperative Nursing Quality Sensitivity Indicators for Coronary Artery Bypass Graft Patients
投稿时间:2024-09-23  修订日期:2025-06-04
DOI:
中文关键词:  冠状动脉搭桥术  护理质量敏感性指标  结构维度  过程维度  结果维度  术中护理  护理质量评价体系  综述
英文关键词:coronary artery bypass graft surgery  nursing quality sensitivity indicators  structure dimension  process dimension  outcome dimension  intraoperative nursing  nursing quality evaluation system  review
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作者单位E-mail
林佳* 上海市老年医学中心 lin.jia@zsgmc.sh.cn 
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中文摘要:
      冠状动脉搭桥术是治疗冠心病的主要手术方式。目前冠状动脉搭桥术中护理质量评价体系尚不完善,缺乏客观、量化的评价工具。文章对冠状动脉搭桥术中护理敏感质量指标概述和内容进行综述,并提出展望,以期为构建一个系统、科学的护理质量敏感性指标体系提供参考依据。
英文摘要:
      Coronary heart disease (CHD) is a common cardiovascular disorder that seriously threatens human health. Coronary artery bypass grafting (CABG) is the primary surgical treatment for CHD. However, its clinical efficacy is constrained by issues such as extensive trauma, numerous complications, and slow recovery. Nursing quality is a key factor affecting CABG outcomes, but the current evaluation system for intraoperative nursing quality in CABG is imperfect, lacking objective and quantitative assessment tools. Nursing-sensitive quality indicators (NSQIs) provide an objective measure of nursing quality by evaluating three dimensions: structure, process, and outcome. Nevertheless, the application of NSQIs in the field of CABG is still in its infancy. Based on a literature analysis, this article explores the connotation of intraoperative NSQIs for CABG and systematically reviews the key content of NSQIs from three dimensions: structural indicators such as material equipment, human resources, and process standardization; process indicators including vital sign monitoring, complication prevention, equipment and medication management, communication and coordination; and outcome indicators like surgical effectiveness, recovery status, complication incidence, and patient satisfaction. The analysis demonstrates that the scientific construction of intraoperative NSQIs for CABG contributes to the objective evaluation of nursing quality and guides nursing practice. However, the standardization, normalization, and continuous improvement mechanisms still need refinement. Future research should focus on strengthening evidence-based studies and multidisciplinary collaboration to further optimize the clinical application of intraoperative NSQIs for CABG, ultimately improving CABG efficacy and patient prognosis.
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