慢性阻塞性肺疾病慢性病管理社区路径的构建  

Construction a community pathway of chronic disease management for chronic obstructive pulmonary disease

作　　者：张丽影 张清 Zhang Liying;Zhang Qing(Department of Medical and Surgical Nursing,School of Nursing,Tianjin Medical University,Tianjin 300070,China;Tianjin Binhai New District Hangzhou Dao street Community Health Service Center,Tianjin 300070,China)

机构地区：[1]天津医科大学护理学院内外科教研室,300070 [2]天津市滨海新区杭州道街社区卫生服务中心,300070

出　　处：《中国实用护理杂志》2019年第29期2244-2250,共7页Chinese Journal of Practical Nursing

基　　金：2015年度教育部人文社会科学研究一般项目(15YJAZH109).

摘　　要：目的构建慢性阻塞性肺疾病(COPD)慢性病管理社区路径,为COPD的慢性病社区管理提供理论依据。方法在PDCA循环管理方法的理论框架下,参考临床路径,形成函询问卷。运用Delphi法,进行2轮专家函询。结果通过2轮专家函询问卷有效回收率均为100%(15/15),权威系数为0.85,熟悉系数为0.76,判断系数为0.93,最终确定COPD慢性病管理社区路径为评估、计划、实施、变异、评价、反馈6个一级指标,19项二级指标和44项三级指标。指标协调系数依次为0.12、0.05、0.12,三级指标专家意见协调性有统计学意义(P<0.05)。结论构建的COPD慢性病管理社区路径经专家检验,意见集中,科学可靠,为COPD慢性病社区管理提供参考依据。Objective To construct a community pathway of chronic disease management for chronic obstructive pulmonary disease (COPD), which provided a theoretical basis for community management of chronic disease in COPD. Methods Under the theoretical framework of the PDCA cycle management method, the questionnaire was formed with reference to the clinical pathway. This study conducted two-rounds of expert correspondence by using the Delphi method. Results After two rounds of expert letters, the effective recovery rate of the volume was 100%(15/15), the authoritative coefficient was 0.85, the familiarity coefficient was 0.76, and the judgment coefficient was 0.93, the path of COPD chronic disease management community was ultimately determined for 6 first-level indicators, including assessment, planning, implementation, variation, evaluation and feedback, 19 second-level indicators and 44 third-level indicators. The coordination coefficient of indicators was 0.12, 0.05, 0.12, and the coordination of expert opinions of the third-level indicators was statistically significant (P<0.05). Conclusion The community path of COPD chronic disease management has been tested by experts, with concentrated opinions and scientific and reliable, which provides a reference for COPD chronic disease community management.

关 键 词：肺疾病 慢性阻塞性 慢性病管理 社区路径 社区管理 

分 类 号：R473.2[医药卫生—护理学]