长期留置膀胱造瘘管患者健康教育评价标准的构建  

Construction of evaluation criterion of health education for patients with long-term indwelling bladder fistula

作　　者：白玫[1] 乔夠梅 张晓丽[1] 戚菲菲[1] 白雪[1] 

机构地区：[1]兰州军区兰州总医院泌尿外科,730050

出　　处：《中华现代护理杂志》2016年第8期1076-1080,共5页Chinese Journal of Modern Nursing

基　　金：兰州军区医药卫生科研基金（CLZ11JC08）

摘　　要：目的：建立长期留置膀胱造瘘管患者健康教育评价标准。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,根据健康信念模式“知、信、行”三级目标理论模式,拟订长期留置膀胱造瘘管患者健康教育评价标准。结果专家咨询的权威程度系数为0.81,判断系数为0.88,熟悉系数为0.74；最终确定长期留置膀胱造瘘管尿路造口患者健康教育评价标准包括Ⅰ级指标3个、Ⅱ级指标30个,Ⅰ、Ⅱ级指标的协调系数分别为0.991,0.476,协调系数比较差异有统计学意义（〈0.01）。结论应用Delphi法构建的健康教育评价标准可为临床护士开展长期留置膀胱造瘘管患者健康指导并评价实施效果提供参考依据。Objective To establish the evaluation criterion of health education for patients with long-term indwelling bladder fistula. Methods Evaluation criterion of health education for patients with long-term indwelling bladder fistula was drawn up by document literature, theoretical analysis, qualitative research, Delphi experts consultation and according to the health belief model “Knowledge, Attitude, Practice”, a three-grade theoretical model. Results The authority coefficient, judgment coefficient and familiar coefficient of expert consultation were 0. 81, 0. 88, 0. 74. Finally, the evaluation criterion of health education for patients with long-term indwelling bladder fistula was confirmed including grade I index （3 items） and grade II index （30 items）. The coordination coefficient of grade I index and grade II index was 0. 991 and 0. 476 with a significant difference （〈0. 01）. Conclusions Evaluation criterion of health education based on Delphi method can provide references for the implementation of education education for patients with long-term indwelling bladder fistula by nurses and evaluation of implementation effects.

关 键 词：膀胱造瘘术 自我管理 造瘘口护理 健康质量 DELPHI法 

分 类 号：R473.6[医药卫生—护理学]