基于新媒体的肾移植患者健康教育方案的构建  

Development of new media-assisted health education protocol for kidney transplant recipients

作　　者：刘佳 方春华[3] 张红[4] 严谨[5] 谢建飞[5] Liu Jia;Fang Chunhua;Zhang Hong;Yan Jin;Xie Jianfei(Nursing School of Xiangya,Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅护理学院,湖南长沙410013 [2]中南大学湘雅三医院器官移植36病室,湖南长沙410013 [3]中南大学湘雅二医院普外器官移植科,湖南长沙410013 [4]中南大学湘雅医院器官移植中心,湖南长沙410013 [5]中南大学湘雅三医院护理部,湖南长沙410013

出　　处：《护理学杂志》2019年第12期87-90,共4页Journal of Nursing Science

基　　金：2019年度湖南省自然科学基金青年项目(2019JJ50918)

摘　　要：目的构建新媒体环境下的肾移植患者健康教育策略,为专科教康教育提供适用性方案。方法对176例肾移植患者发放“肾移植患者健康教育需求调查问卷”调查等待移植期、入院后第1天、术后第5天、出院前1天及术后随访期5个时间段的健康教育需求;遴选11名专家进行2轮德尔菲法咨询。结果构建成包括3个一级指标(文字库,视频库,音频库)、12个二级指标和82个三级指标(资料)的肾移植患者健康教育策略。2轮专家权威系数Cr为0.880、0.874,协调系数W为0.556、0.613。结论构建的肾移植患者健康教育策略内容来源于患者需求,采用全媒体融合传播形式,可望经临床实践验证后适用于不同层次、不同状态、不同处境肾移植患者的信息需求。Objective To develop health education strategies for kidney transplant recipients in the new media environment, and to provide practical protocol for health education. Methods A total of 176 kidney transplant recipients were surveyed in terms of their needs of health education about kidney transplantation during the pretransplant waiting period, at the first day after admission, the fifth day after transplantation, the day before discharge and during the follow-up period. Eleven experts were selected for two rounds of Delphi consultation. Results The health education protocol for kidney transplant recipients included 3 first-level indicators (text, video and audio pool), 12 second-level indicators and 82 third-level indicators. The authority coefficient of expert was 0.880 at round 1 and 0.874 at round 2. The Kendall′s coefficients of concordance ( W ) were 0.556 and 0.613. Conclusion The health education protocol for kidney transplantation which was developed based on patients′ needs and transmitted by the omnimedia, can be applied in clinical practice for kidney transplant recipients after validation.

关 键 词：肾移植 住院患者 围手术期 德尔菲法 问卷调查 健康教育策略 

分 类 号：R473.6[医药卫生—护理学] G479[医药卫生—临床医学]