老年慢性心力衰竭患者跨文化自我管理健康行为变化激励目标框架的构建  

Construction of the motivation goal framework for changes in transcultural self-management health behaviors among senile patients with chronic heart failure

作　　者：王怡君[1] 金园园[4] 郭海燕[2] 张梅英[1] 彭幼清[3] 沈静之[1] 王冰[1] Wang Yijun;Jin Yuanyuan;Guo Haiyan;Zhang Meiying;Peng Youqing;Shen Jingzhi;Wang Bing(Emergency Department, Shanghai East Hospital, Tongji University, Shanghai 200120, China;Tongji University School of Medicine, Shanghai 200092, China;Cardiac Intensive Care Unit, Shanghai East Hospital, Tongji University, Shanghai 200120, Chin;Nursing Department, Shanghai East Hospital, Tongji University, Shanghai 200120, Chin)

机构地区：[1]同济大学附属东方医院急诊科,上海200120 [2]同济大学附属东方医院心内重症监护室,上海200120 [3]同济大学附属东方医院护理部,上海200120 [4]同济大学医学院,上海200092

出　　处：《中华现代护理杂志》2018年第10期1123-1130,共8页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金面上项目（71473178）;浦东新区重点学科项目（PWZxk2017-01）

摘　　要：目的构建老年慢性心力衰竭患者（CHF）跨文化自我管理健康行为变化激励目标框架。方法于2016年9月-2017年9月遴选15名专家参加德尔菲法咨询，对拟定的老年慢性心力衰竭患者跨文化自我管理健康行为变化激励目标框架条目进行2轮问卷咨询，获得专家的一致性意见，初步构建老年慢性心力衰竭患者跨文化自我管理健康行为变化激励目标框架。结果初步构建老年慢性心力衰竭患者跨文化自我管理健康行为变化激励目标框架包含3个一级条目、9个二级条目和52个三级条目，专家的权威系数为0．930，判断系数为0．950，熟悉程度为0．910；2轮专家咨询的有效问卷回收率均达到100％。结论在跨文化护理理论以及跨理论模型等理论指导下构建的老年慢性心力衰竭患者跨文化自我管理健康行为变化激励目标框架，具有良好的科学性性和实用性，为实施个性化、精确化、常态化的自我管理教育提供了参考。Objective To-construct a motivation goal framework for changes in transcultural self-management health behaviors among senile patients with chronic heart failure （CHF）. Methods Totally 15 experts were selected to participate in Delphi consuhancy from September 2016 to September 2017. Two rounds of questionnaire consuhancy were conducted in terms of the proposed items for the motivation goal framework for changes in transcuhnral self-management health behaviors among senile CHF patients, with an unanimous understanding among the experts attained. Finally, the motivation goal framework for changes in transcuhural self-management health behaviors among senile CHF patients was preliminarily constructed. Results The preliminarily constructed motivation goal framework for changes in transcultural self-management health behaviors among senile CHF patients included 3 primary items, 9 secondary items and 52 tertiary items. The authority coefficient, judgement coefficient and degree of familiarity of these experts were 0.930, 0.950 and 0.910, respectively. The return rate of valid questionnaires in the two rounds of expert consuhancy reached 100%. Conclusions The motivation goal framework for changes in transcultural self-management health behaviors among senile CHF patients constructed under the transcultural nursing theory and the cross-theoretical model is scientific and practical, which provides reference for personalized, precise and normalized self-management education.

关 键 词：心力衰竭 老年人 跨文化护理 激励目标 自我管理 

分 类 号：R473.5[医药卫生—护理学]