基于互联网与患者需求的脑梗死患者健康教育方案的构建  

Development of a health education protocol for patients with cerebral infarction by information technology and patient needs

作　　者：张晓瑜[1] 刘璐[1] 侯春艳 方向红 何函樨 曾洁 Zhang Xiaoyu;Liu Lu;Hou Chunyan;Fang Xianghong;He Hanxi;Zeng Jie(Sun Yat-sen University Eighth Hospital,Shenzhen,518000,China)

机构地区：[1]中山大学附属第八医院,广东深圳518000

出　　处：《现代临床护理》2020年第12期46-54,共9页Modern Clinical Nursing

基　　金：深圳市科创委面上项目,项目编号为JCYJ20190808100813208;福田区卫生公益性科研项目,项目编号为FTWS2019045。

摘　　要：目的构建基于互联网与患者需求的脑梗死患者健康教育方案,为专科健康教育提供合适的方案。方法以文献回顾、患者需求调查为基础,选择来自营养、康复、护理、脑血管病领域的16名专家进行两轮德尔菲法(Delphi)专家函询以确定脑梗死患者健康教育方案。结果两轮专家函询表的回收率均为100.00%;两轮专家的权威系数Cr为0.82;第一轮与第二轮三级指标的变异系数分别为0~0.28与0~0.16,肯德尔和谐系数分别为0.17和0.33(χ^(2)分别为119.38和322.52,均P<0.001),第一轮专家函询三级指标的重要性均数为3.87~5.00,标准差为0~1.17,第二轮专家函询三级指标的重要性均数为4.06~5.00,标准差为0~0.73,构建的脑梗死患者健康教育方案包括4个一级指标、18个二级指标以及60个三级指标,并在此基础构建了健康教育方案图。结论本研究构建的基于互联网与患者需求的脑梗死患者健康教育方案,经统计分析函询结果可靠,可为临床开展健康教育提供参考。Objective To develop health education program for patients with cerebral infarction by information technology in order to provide solutions for specialist health education.Method Based on literature review and demand survey,16 experts in nutriolgy,rehabilitation medicine,nursing,and cerebrovascular disease were engaged to work out the health education program for patients with cerebral infarction by 2 rounds of Delphi expert consultation.Results The response rate of the two rounds of experts'consultation with questionnaire was 100%,with an authority coefficient Cr of 0.82.The variation coefficients of the three-level indicators in the first and second rounds were 0-0.28 and 0-0.16,respectively.The Kendall harmony coefficient W for two rounds were 0.17 and 0.33(2=119.38 and 322.52,P<0.001),respectively.In the first round,the average importance of each three-level indicator was 3.87-5.00,with the standard deviation of 0-1.17.In the second round,the average importance of each three-level indicator was 4.06-5.00,with the standard deviation of 0-0.73.The developed health education program for patients with cerebral infarction included 4 first-level indicators,18 second-level indicators,and 60 third-level indicators,and a health education program map was constructed finally.Conclusion The health education protocol for patients with cerebral infarction developed by information technology and the needs of patients,statistically reliable and accountable for experts'high motivation,authority,and harmony so that it can provide references for health education to patients with cerebral infarction.

关 键 词：脑梗死 互联网 健康教育 德尔菲法 

分 类 号：R473.74[医药卫生—护理学]