摘要目的 探讨在我国文化背景下急性心肌梗死的临床核心症状群,在此基础上制定症状列表.方法 采用文献资料法初步筛选出急性心肌梗死患者的核心症状,并对各症状给予描述性定义.在此基础上采用德尔菲专家函询法,按专家纳入标准严格选择咨询专家,最终选择来自全国各地的35名心内科临床医疗专家和临床护理专家,进行2轮专家咨询,筛选出专家认可的急性心肌梗死核心症状群.结果 筛选了14个有关急性心肌梗死核心症状条目,按照症状重要程度的算数均数从高到低依次为:胸痛、疲劳(乏力)、烦躁不安、心悸、呼吸困难、恐惧、左肩放射痛、焦虑、恶心、呕吐、上腹痛、右肩放射痛、出冷汗、腰背痛.结论 初步构建的急性心肌梗死核心症状群,专家的积极性系数和权威系数均较高,具有较好的科学性和实用性,有助于提高患者自身及医护人员对急性心肌梗死症状的识别和判断.

abstractsObjective To explore the clinical core symptoms of acute myocardial infarction in Chinese cultural context,and to develop a checklist of acute myocardial infarction symptoms. Methods A list of clinical symptoms of acute myocardial infarction and the descriptive definition of each symptom were preliminary derived from literature review. On the basis of the Delphi experts enquiry method, a number of 35 clinical cardiology medical specialists and clinical nurse specialists around the country were recruited by standard strict selection. After 2 rounds of expert consultation, core symptoms of acute myocardial infarction were selected by these experts. Results A total of 14 symptoms were finally selected, including chest pain, fatigue (weakness), irritability, palpitations, breathing difficulties, fear, left shoulder radiating pain, anxiety, nausea, vomiting, abdominal pain, right shoulder radiating pain, cold sweats and back pain. Conclusions Preliminary construction of the core symptoms of acute myocardial infarction with good positive coefficient and authority coefficients of experts was scientific and practical, which is helpful to improve identification and judgment acute myocardial infarction symptoms for both patients and medical staff.