慢性阻塞性肺疾病慢性病管理家庭路径的构建  

Construction of pathway at home for patients with COPD

作　　者：彭程 张清 PENG Cheng;ZHANG Qing(Department of Medical and,Surgical Nursing,School of Nursing,Tianjin Medical University,Tianjin 300070,China)

机构地区：[1]天津医科大学护理学院内外科教研室,天津300070

出　　处：《现代预防医学》2019年第5期840-843,859,共5页Modern Preventive Medicine

基　　金：2015年度教育部人文社会科学研究规划基金项目(15YJAZH109)

摘　　要：目的构建慢性阻塞性肺疾病(COPD)慢性病管理家庭路径,为COPD的慢性病管理提供理论依据。方法以PDCA为理论框架,查阅国内外文献,采用德尔菲法对来自全国的15名专家进行2轮的问卷函询。结果 2轮专家咨询的问卷有效回收率均为100%,权威系数为0.85,判断系数为0.93,熟悉系数为0.76,最终确定COPD慢性病管理家庭路径,包括一级指标6项(评估、计划、实施、评价、变异、反馈),二级指标21项,三级指标53项;指标协调系数分别为0.14、0.08、0.09,三级指标专家意见协调性有统计学意义(P<0.05)。结论 COPD慢性病管理家庭路径经检验,专家意见集中,结果科学可靠,可为COPD患者的慢性病管理提供理论依据。Objective To construct a pathway at home for patients with chronic obstructive pulmonary disease(COPD)and to provide evidence for the management of COPD.Methods After using the "Plan-Do-Check-Action" as the theoretical framework and reviewing literatures,the Delphi technique was used to identify the indicators through two rounds of expert consultation among 15 experts.Results The response rates of two rounds of consultation were both 100%.The authority coefficient of experts was 0.85.The coefficient of determination was 0.93 and familarity coefficient was 0.76.The pathway at home for patients with stable COPD consisted of 6 first-level indicators,including assessment,plan,action,evaluation,variation and feedback,21 second-level items and 53 third-level items.The coordination coefficients were 0.14,0.08 and 0.09,respectively.The coordination coefficients of specialists’opinions for third-level items had statistical significance(P<0.05).Conclusion The contents of the pathway at home for patients with stable COPD are reliable and scientific,which can provide a basis for the management of patients with COPD.

关 键 词：慢性阻塞性肺疾病 慢性病管理 家庭路径 

分 类 号：R163[医药卫生—公共卫生与预防医学]