摘要目的:构建合理且高效的急诊科老年急性胸痛患者临床护理路径表，为老年急性胸痛患者在急诊科就诊提供救治流程。方法:通过文献回顾、理论分析等，初步拟定临床护理路径基本框架，选取来自全国的21名临床医疗、护理专家，运用德尔菲法进行2轮专家咨询，最终确定临床护理路径。结果:2轮咨询问卷的回收率为100.00%、95.24%，专家意见提出率分别为61.90%、45.00%，专家的权威系数为0.85、0.88，协调系数为0.23、0.30，经过2轮咨询最终构建了临床护理路径表。结论:2轮咨询专家的积极系数和权威系数均较高，变异系数和协调系数符合统计学要求范围内，构建的老年急性胸痛患者临床护理路径具有较高的科学性及可靠性。

abstractsObjective:To construct a reasonable and efficient clinical nursing pathway for elderly patients with acute chest pain in the emergency department, and to provide a standardized and rapid treatment process for such patients.Methods:Through literature review and theoretical analysis, the basic framework of clinical nursing pathway was preliminarily drawn up. Twenty one clinical medical and nursing experts from all over the country were selected to conduct two rounds of expert consultation with Delphi method, and the clinical nursing path was finally determined.Results:The recovery rates of the two rounds of questionnaires were 100.00% and 95.24%, and the rates of submission expert suggestions were 61.90% and 45.00%, the authority coefficients of experts were 0.85 and 0.88, and the coordination coefficients were 0.23 and 0.30. Finally, the clinical nursing pathway was constructed after two rounds of consultation.Conclusion:The positive coefficient and authority coefficient of the two rounds of experts were both high, and the variable coefficient and coordination coefficient were in line with the statistical requirements, so the clinical nursing path of the elderly patients with acute chest pain had high scientificity and reliability.