构建膀胱肿瘤患者自我管理体系的研究  

Study on the construction of self-management system in bladder tumor patient

作　　者：张晓丽[1] 乔够梅[1] 陆皓[2] 李娟[2] 汉瑞娟[2] 

机构地区：[1]兰州军区兰州总医院泌尿外科,730050 [2]兰州军区兰州总医院护理部,730050

出　　处：《中华现代护理杂志》2014年第3期264-267,共4页Chinese Journal of Modern Nursing

基　　金：兰州军区医药卫生科研基金课题

摘　　要：目的：构建膀胱肿瘤患者自我管理体系。方法通过文献资料法、理论分析法、质性研究法及德尔菲（Delphi）专家咨询法，拟订膀胱肿瘤患者自我管理体系。结果专家咨询的权威程度系数为0．82，判断系数为0．88，熟悉系数为0．74；最终确定膀胱肿瘤患者自我管理体系包括一级指标4条、二级指标12条，三级指标50条，一、二、三级指标的协调系数分别为0．511，0．406，0．423，协调系数比较具有统计学意义（P＜0．01）。结论本研究应用Delphi法构建的测评指标体系可为临床或社区护士评估膀胱肿瘤高危人群，开展有针对性的健康教育和指导提供科学依据。Objective To build the self-management system in bladder tumor patient .Methods The self-management system in bladder tumor patient was developed through the literature review , theoretical analysis, qualitative research method and Delphi expert consultation .Results The coefficient of authority was 0.82, the coefficient of judgment was 0.88, and the coefficient of familiar was 0.74 in the expert consultation . The self-management system in bladder tumor patient was ultimately built including 4 items with first indicator , 12 items with second indicator , and 50 items with third indicator .The coordination coefficients of first , second and third indicator were respectively 0.511, 0.406, 0.423, and the difference was statistically significant （P＆lt;0.01）.Conclusions The evaluation index system which is built through the Delphi method can provide the scientific basis for carrying out the targeted health education and guidance , and evaluating the high -risk groups with bladder tumor by the clinical and community nurses .

关 键 词：膀胱肿瘤 自我管理行为 膀胱灌注 护理 

分 类 号：R473.73[医药卫生—护理学]