基于个人与家庭自我管理理论的造口旁疝预防与管理方案的构建  

Construction of a program for parastomal hernia prevention based on the individual and family self-management theory

作　　者：封蔓 曹松梅[2] 范昕[3] 魏青[3] 贾莹莹 耿翡 汪淑华 Feng Man;Cao Songmei;FanXin;Wei Qing;Jia Yingying;GengFei;Wang Shuhua(Medical College of Jiangsu University,Zhenjiang 212013,China;Department of Nursing,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China;General Surgery Department,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China)

机构地区：[1]江苏大学医学院,镇江212013 [2]江苏大学附属医院护理部,镇江212001 [3]江苏大学附属医院普外科,镇江212001

出　　处：《中国实用护理杂志》2021年第26期2034-2040,共7页Chinese Journal of Practical Nursing

基　　金：江苏省青年医学重点人才(QNRC2016839)。

摘　　要：目的:构建造口患者造口旁疝预防与管理的方案。方法:基于文献分析和临床需求,结合个人与家庭自我管理理论,以个案管理模式为框架,拟定造口旁疝预防与管理的方案初稿,选取16名专家进行2轮德尔菲专家函询,分析并筛选各级指标,计算专家的积极系数、权威系数和协调系数来分析专家咨询结果的可信度。结果:2轮专家函询问卷有效回收率分别为88.89%和100.00%,权威系数分别为0.825和0.844,2轮肯德尔系数分别为0.221和0.269,均有统计学意义(P<0.01),各级指标的集中程度较高。最终得到包括6项一级指标、16项二级指标和42项三级指标构成的基于个人与家庭自我管理理论的造口旁疝预防与管理的方案。结论:基于个人与家庭自我管理理论的造口旁疝预防与管理的方案具有较高的可靠性和科学性,可为造口旁疝预防和管理的研究提供依据。Objective:To establish a program for the prevention and management of parastomal hernia in patients with ostomy.Methods:Based on literature analysis and clinical needs,combined with the individual and family self-management theory(IFSMT),a preliminary plan for prevention and management of parastomal hernia was developed with the framework of case management model.Sixteen experts were selected for two rounds of Delphi expert consultations to analyze and screen indicators at all levels to calculate the expert′s positive coefficient,authority coefficient and coordination coefficient to analyze the credibility of expert consultation results.Results:The effective recovery rates of the two rounds of expert letter inquiries were 88.89%and 100.00%,the authoritative coefficients were 0.825 and 0.844,and the two rounds of Kendall′s W values were 0.221 and 0.269,which were statistically significant(P<0.01).The concentration of indicators is high.Finally,a programe for parastomal hernia prevention and management based on the self-management theory of individual and family consisting of 6 first-level indicators,16 second-level indicators and 42 third-level indicators was obtained.Conclusion:The programe for prevention and management of parastomal hernia based on individual and family self-management theory has high reliability and scientificity,and can provide a basis for the study of parastomal hernia prevention and management.

关 键 词：自我管理 造口旁疝 个案管理 德尔菲法 

分 类 号：R473.6[医药卫生—护理学]