社区高血压患者家庭访视方案的构建  

Design a home visiting protocol for hypertension patients in the community

作　　者：郑翠红[1] 陈楚[2] 李华萍[1] 郭建平[1] 陈光毅[2] 

机构地区：[1]福建省级机关医院护理部,福建福州350003 [2]福建医科大学

出　　处：《护理学杂志》2014年第21期81-84,共4页

基　　金：福建省卫生厅医学创新课题(2011-CX-19)

摘　　要：目的构建适合我国国情的社区高血压患者家庭访视方案。方法以奥马哈系统为理论依据,选取17名专家进行德尔菲法咨询和40例患者预试验,构建社区高血压患者家庭访视方案。结果形成的高血压家庭访视方案包括"高血压家庭访视评估表"、"高血压家庭访视干预方式"和"高血压家庭访视问题的效果评分"三部分。"高血压家庭访视评估表"2轮咨询专家积极系数分别为100%和93.75%,专家权威系数分别为0.860和0.852,肯德尔和谐系数分别为0.201和0.498(均P<0.01);总的Cronbach′sα系数为0.875,社会心理领域、生理领域、健康相关行为领域的Cronbach′sα系数分别为0.848、0.680、0.838;总的重测信度r为0.949,社会心理领域、生理领域、健康相关行为领域r分别为0.956、0.799、0.946。内容效度为0.882。结论高血压家庭访视方案设计合理,可用于社区高血压患者家庭访视。Objective To design a practical home visiting protocol for Chinese hypertensive patients in the community. Methods Based on the Omaha system, we selected 17 experts for Delphi consultation and 40 patients for pre-survey test to design a home visiting protocol for hypertension patients in the community. Results The home visiting protocol for hypertension contained three parts： as- sessment scale, intervention methods, and evaluation standards. The response rate of the assessment scale was 100% for round one and 93.75% for round two;the authority coefficient was 0. 860 for round one and 0. 852 for round two; and the Kendall＇s w was 0. 201 and 0. 498 respectively （P〈0.01 for both）. Internal consistency of the scale was 0. 875 for the total scale. Cronbach al- pha coefficient of psychosocial domain, physiological domain and health-related behaviors domain was 0. 848, 0. 680 and 0. 838 re- spectively. The test-retest reliability was 0. 949 for the total scale, 0. 956 for psychosocial domain, 0. 799 for physiological domain, and 0. 946 for health-related behaviors domain. The content validity index was 0. 882 for the total scale. Conclusion The home visi- ting protocol for hypertension is reliable and valid, and it can be used for visiting hypertension patients in the community.

关 键 词：高血压 家庭访视方案 社区 奥马哈系统 德尔菲法 信度 效度 

分 类 号：R473.5[医药卫生—护理学] R473.2[医药卫生—临床医学]