基于德尔菲法构建高尿酸血症及痛风病人饮食控制知信行量表  

Construction of diet control KAP scale in hyperuricemia and gout patients based on Delphi method

作　　者：李会仿 朱雪梅[1,2] 李妮娜 李良秀 耿扬[1,2] 

机构地区：[1]哈尔滨医科大学护理学院 [2]哈尔滨医科大学附属第二医院

出　　处：《护理研究（下旬版）》2017年第12期4656-4660,共5页Chinese Nursing Researsh

基　　金：黑龙江省大学生创新创业训练项目;编号:201510226059

摘　　要：[目的]构建高尿酸血症及痛风病人饮食控制知信行量表,以指导医护人员科学评估其饮食控制状况。[方法]以知信行理论为基本框架,经文献回顾参考相关指南形成初始量表条目池,采用德尔菲(Delphi)法,对25名专家进行两轮函询。[结果]两轮函询问卷有效回收率均为100%,函询专家的权威系数为0.830。总量表第1轮条目重要性评分为(4.19±0.79)分,变异系数为0.19,协调系数为0.254;第2轮重要性评分为(4.38±0.28)分,变异系数为0.16,协调系数为0.197。经χ2检验均有统计学意义(P<0.001)。形成的量表包括知识(16个条目)、信念(14个条目)、行为(12个条目)3个分量表共42个条目。[结论]高尿酸血症及痛风病人饮食控制知信行量表可用于评估病人的饮食控制知信行状况,为相关干预提供测评工具,也可为知信行理论的应用与发展提供科学依据,但还需要进一步的实证研究。Objective:To construct diet construct diet control KAP scole in hyperuricemia and gout patients based on Delphi method patients and guide the health care workers to assess the status of their diet control.Methods:Based on the KAP theory,the paper begn with reference to the relevant guidelines to form the initial scale entry pool,and Delphi method was used to carry out two rounds of correspondence to 25 experts.Results:The effective recovery rate of the two rounds of questionnaires was 100%,and the authority coefficient of the experts was 0.830.The importance score of the first round of the total scale was(4.19±0.79),the variation coefficient was 0.19,the coordination coefficient was 0.254;the second round of the importance score was(4.38±0.28)points,the variation coefficient was 0.16,the coordination coefficient was 0.197.χ2 test results were statistically significant(P<0.001).The formation of the scale included knowledge(16 entries),beliefs(14 entries),behavior(12 entries)3 subscales a total of 42 entries.Conclusions:Hyperalicemia and gout patients diet control KAP scale could be used to assess the patient's diet control KAP status,to provide evaluation tools for the relevant intervention,but also could provide scientific basis for the application and development of the KAP theory,but it needed further empirical researchs.

关 键 词：高尿酸血症 痛风 饮食控制 德尔菲法 量表 知识 信念 行为 

分 类 号：R473.58[医药卫生—护理学]