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目的：探讨三维绩效结构理论在心脏内科授权赋能护理管理中的应用效果。方法将三维绩效考核与科室授权赋能管理模式相结合，建构各能级护理人员的护理管理绩效考评模块与分组授权模块。采用心理授权量表、自我效能感量表和护士工作满意度量表评估实施前和4个月后的相关评分。结果与实施前比较，执行三维绩效与授权赋能相结合模式后，科室护理人员的心理赋能得分、自我效能感得分及工作满意度均提高（P＜0．01），患者对护理人文及护理工作的总体评价方面满意度均提高（P＜0．05）。结论实施三维绩效与授权赋能相结合模式能优化绩效考评与岗位管理，增加各级护理人员的心理授权感知水平及自我效能感，提高护士及患者的满意度。“,”Objective To investigate the application of three‐dimensional performance in authorization to nursing management mode in department of cardiology .Methods The nursing management performance evaluation module and group authorization module were constructed by combined use of three‐dimensional performance evaluation with department authorized management mode .With mental authorized scale ,self‐efficacy and nurses job satisfaction scales ,the outcomes were evaluated before and four months later .Results Compared to before ,the scores of mental energy‐giving ,self‐efficacy and job satisfaction of nursing staff after implementing the combined management mode were all significantly increased(P<0 .01) .So did the satisfaction scores of patients to nursing (P<0 .05) .Conclusion The implementation of three‐dimensional performance evaluation combined with department authorized management mode can optimize the performance evaluation and post management ,enhance the authorization of psychological perception and self‐efficacy of nursing staff at all levels ,and improve the satisfaction of nurses and patients .