Abstract:

Objective To standardize nursing management on postoperative patients with a left ventricular assist- ant device（LVAD）. Methods The first draft of the Consensus was formed on the basis of literature review. 2 rounds of expert consultations and a round of online meeting discussion were held for adjustments and modifications the draft of the Consensus. Results The recovery rate of the inquiry questionnaire was 93.75%. The authority coefficients of the 2 rounds of inquiry experts were 0.927 and 0.920. The concentration degree of expert opinions for each indicator was greater than 3.5 score，and the coefficient of variation was less than 0.25. The Kendall harmony coefficients for 2 rounds of correspondence were 0.402 and 0.407（P<0.01）. The final Consensus formed through expert consultations and meetings includes 7 themes：hemodynamic monitoring，LVAD function monitoring，coagulation function monitoring，percutaneous cable and wound care，exercise rehabilitation care，health education and guidance，and pre-discharge assessment. Conclusion The Consensus is scientific，rigorous，and authoritative. The Consensus covers all aspects of postoperative care for patients with LVAD，and it will benefit to clinical practice.

Key words: Heart Failure, Left Ventricular Assistant Device, Postoperative Care, Expert Consensus

摘要：

目的 形成左心室辅助装置植入患者术后护理专家共识（以下简称“共识”），推动护士规范、安全的为左心室辅助装置植入患者实施术后护理。方法 全面回顾国内外左心室辅助装置植入患者护理相关指南、专家共识、系统评价、原始研究等文献及相关疾病诊疗方案等，形成“共识”初稿，通过2轮专家函询和1轮线上专家会议，对各条目进行调整、修改，形成“共识”终稿。结果 函询专家应答率为93.75%，2轮函询专家权威系数分别为0.927和0.920，各指标重要性评分均>3.5分，变异系数均<0.25。2轮函询的肯德尔和谐系数分别为0.402和0.407（P<0.01）。通过专家函询及专家会议，形成的终版“共识”涵盖血流动力学监测、左心室辅助装置功能监测、凝血功能监测、经皮缆线的固定及切口护理、运动康复、健康教育、出院前考核7个主题。结论 构建的“共识”具有科学性、严谨性和权威性。“共识”内容覆盖左心室辅助装置植入患者术后护理的各个环节，可为左心室辅助装置植入患者术后护理提供参考及指导。

关键词: 心力衰竭, 左心室辅助装置, 术后护理, 专家共识