Abstract:

Objective To explore the expert consensus on perinatal care management of infants with congenital heart disease（hereinafter referred to as “Consensus”） in order to promote the standardization of integrated nursing. Methods The literature was systematically searched and several discussions were organized within the group to compile the first draft of the Consensus. From January to March 2024，20 experts in the clinical nursing，nursing management，clinical medicine and other fields of congenital heart disease were solicited through 2 rounds of Delphi，and 8 experts were invited to conduct a validation to revise the items to form the final Consensus. Results The recovery rates of the 2 rounds of questionnaires were 100%；the experts’ authority coefficient was 0.89；the Kendall’s W were 0.172，0.211，with statistical significance（P<0.05）. The Consensus included 8 first-level subjects，namely prenatal examination and consultation，postpartum screening，standardized referral，preoperative nursing，intraoperative nursing，postoperative nursing，other disease screening，health education and discharge follow-up. Conclusion The Consensus is scientific and rigorous，and it can provide a reference basis for clinical nursing staff to carry out the care and management of newborns with congenital heart disease.

Key words: Congenital Heart Disease, Expert Consensus, Perinatal Care

摘要：

目的 制订先天性心脏病患儿围生期护理管理专家共识（以下简称“共识”），以期规范临床护理实践。方法 查阅国内外相关文献，并经多次小组讨论，编写“共识”初稿。2024年1月—3月，通过2轮专家函询征求10个省市20名先天性心脏病临床护理、护理管理、临床医学及妇产科护理领域专家的意见，并邀请8名专家进行论证，对相应条目进行修改后形成“共识”终稿。结果 2轮专家函询中，有效问卷回收率均为100%，专家的权威系数为0.89，肯德尔和谐系数分别为0.172、0.211（均P<0.05）。“共识”包括产前检查及咨询、产后筛查、规范转运、术前护理、术中护理、术后护理、其他疾病筛查、健康宣教及出院随访8个方面的内容。结论 “共识”具有科学性、严谨性，可为临床护理人员开展先天性心脏病患儿围生期护理管理工作提供参考。

关键词: 先天性心脏病, 专家共识, 围生期护理