PDF(Pubmed)
Abstract：
OBJECTIVE: To construct a nutrition support program for middle-aged and elderly patients with acute decompensated heart failure (ADHF) during hospitalization.
METHODS: Based on the JBI Evidence-Based Health Care Model as the theoretical framework, the best evidence was extracted through literature analysis and a preliminary nutrition support plan for middle-aged and elderly ADHF patients during hospitalization was formed. Two rounds of expert opinion consultation were conducted using the Delphi method. The indicators were modified, supplemented and reduced according to the expert\'s scoring and feedback, and the expert scoring was calculated.
RESULTS: The response rates of the experts in the two rounds of consultation were 86.7% and 100%, respectively, and the coefficient of variation (CV) for each round was between 0.00% and 29.67% (all < 0.25). In the first round of expert consultation, 4 items were modified, 3 items were deleted, and 3 items were added. In the second round of the expert consultation, one item was deleted and one item was modified. Through two rounds of expert consultation, expert consensus was reached and a nutrition support plan for ADHF patients was finally formed, including 4 first-level indicators, 7 s-level indicators, and 24 third-level indicators.
CONCLUSIONS: The nutrition support program constructed in this study for middle-aged and elderly ADHF patients during hospitalization is authoritative, scientific and practical, and provides a theoretical basis for clinical development of nutrition support program for middle-aged and elderly ADHF patients during hospitalization.
METHODS: Based on the JBI Evidence-Based Health Care Model as the theoretical framework, the best evidence was extracted through literature analysis and a preliminary nutrition support plan for middle-aged and elderly ADHF patients during hospitalization was formed. Two rounds of expert opinion consultation were conducted using the Delphi method. The indicators were modified, supplemented and reduced according to the expert\'s scoring and feedback, and the expert scoring was calculated.
RESULTS: The response rates of the experts in the two rounds of consultation were 86.7% and 100%, respectively, and the coefficient of variation (CV) for each round was between 0.00% and 29.67% (all < 0.25). In the first round of expert consultation, 4 items were modified, 3 items were deleted, and 3 items were added. In the second round of the expert consultation, one item was deleted and one item was modified. Through two rounds of expert consultation, expert consensus was reached and a nutrition support plan for ADHF patients was finally formed, including 4 first-level indicators, 7 s-level indicators, and 24 third-level indicators.
CONCLUSIONS: The nutrition support program constructed in this study for middle-aged and elderly ADHF patients during hospitalization is authoritative, scientific and practical, and provides a theoretical basis for clinical development of nutrition support program for middle-aged and elderly ADHF patients during hospitalization.
摘要：
目的：建立中老年急性失代偿性心力衰竭(ADHF)患者住院期间的营养支持方案。
方法：以JBI循证医疗保健模型为理论框架，通过文献分析，提取最佳证据，初步形成中老年ADHF患者住院期间的营养支持计划。采用德尔菲法进行两轮专家意见咨询。指标被修改，根据专家的评分和反馈进行补充和减少，并计算了专家评分。
结果:两轮会诊专家的应答率分别为86.7%和100%,分别,每轮的变异系数（CV）在0.00％至29.67％之间（均<0.25）。在第一轮专家咨询中,修改了4个项目，删除了3个项目，并增加了3个项目。在第二轮专家咨询中,删除了一个项目，修改了一个项目。通过两轮专家咨询,达成专家共识，最终形成ADHF患者营养支持计划，包括4个一级指标，7个s级指标，和24个三级指标。
结论：本研究构建的中老年ADHF患者住院期间的营养支持方案具有权威性，科学和实用，为临床制定中老年ADHF患者住院期间营养支持方案提供理论依据。
方法：以JBI循证医疗保健模型为理论框架，通过文献分析，提取最佳证据，初步形成中老年ADHF患者住院期间的营养支持计划。采用德尔菲法进行两轮专家意见咨询。指标被修改，根据专家的评分和反馈进行补充和减少，并计算了专家评分。
结果:两轮会诊专家的应答率分别为86.7%和100%,分别,每轮的变异系数（CV）在0.00％至29.67％之间（均<0.25）。在第一轮专家咨询中,修改了4个项目，删除了3个项目，并增加了3个项目。在第二轮专家咨询中,删除了一个项目，修改了一个项目。通过两轮专家咨询,达成专家共识，最终形成ADHF患者营养支持计划，包括4个一级指标，7个s级指标，和24个三级指标。
结论：本研究构建的中老年ADHF患者住院期间的营养支持方案具有权威性，科学和实用，为临床制定中老年ADHF患者住院期间营养支持方案提供理论依据。
