川崎病患儿家长健康素养评估指标体系的构建  

Construction of evaluation index system for health literacy of parents of children with Kawasaki disease

作　　者：唐倩 宋青青[2] 朱丽辉[3] 胡姚佳 黄娟[2] Tang Qian;Song Qingqing;Zhu Lihui;Hu Yaojia;Huang Juan(School of Nursing,Hunan University of Chinese Medicine,Changsha 410208,China;Department of Cardiology,Hunan Children's Hospital,Changsha 410007,China;Nursing Department,Hunan Children's Hospital,Changsha 410007,China)

机构地区：[1]湖南中医药大学护理学院,长沙410208 [2]湖南省儿童医院心血管内科,长沙410007 [3]湖南省儿童医院护理部,长沙410007

出　　处：《中华现代护理杂志》2021年第28期3828-3833,共6页Chinese Journal of Modern Nursing

基　　金：2020年湖南省科学技术厅重点科研项目(2020WK2021);湖南省高层次卫生人才“225”工程培养项目([2019]196)。

摘　　要：目的构建川崎病患儿家长健康素养评估指标体系,为准确测定川崎病患儿家长健康素养提供依据。方法于2020年9月成立研究小组,以《中国公民健康素养66条》三大维度内容为基本框架,基于文献分析,并对10名川崎病患儿家长进行半结构式访谈,构建初级健康素养评估指标。于2020年10—12月通过邮件或微信向15名专家发放问卷进行3轮德尔菲专家咨询,根据权威系数、肯德尔协调系数等确定川崎病患儿家长健康素养评估指标。结果3轮专家咨询问卷的回收率均为100.00%,专家权威系数分别为0.907、0.913、0.920,第3轮专家咨询总指标、一级指标、二级指标的专家意见协调程度的肯德尔协调系数分别为0.376、0.328、0.319(P均<0.01)。最终形成的川崎病患儿家长健康素养评估指标体系包含一级指标3项,二级指标34项。结论构建的川崎病患儿家长健康素养评估指标体系科学可靠,能够为护理人员准确评估川崎病患儿家长的健康素养提供有效工具。Objective To construct an evaluation index system for health literacy of parents of children with Kawasaki disease,so as to provide a basis for accurately determining health literacy of parents of children with Kawasaki disease.Methods A research team was established in September 2020.With the three dimensions of 66 Items of Chinese Citizens'Health Literacy as the basic framework,based on literature analysis and semi-structured interviews with 10 parents of children with Kawasaki disease were conducted,the primary evaluation indicators of health literacy of parents of children with Kawasaki disease was constructed.From October to December 2020,questionnaires were sent to 15 experts through email or Wechat for three rounds of Delphi expert consultation.And the evaluation indicators of health literacy of parents of children with Kawasaki disease were determined according to authority coefficient and Kendall's coordination coefficient.Results The recovery rates of the three rounds of expert consultation questionnaires were all 100.00%,and the expert authority coefficients were 0.907,0.913 and 0.920,respectively.In the third round of expert consultation,the Kendall's coordination coefficient of the coordination degree of general indexes,the first-level indexes and the second-level indexes were 0.376,0.328 and 0.319 respectively(all P<0.01).The final health literacy evaluation index system for parents of children with Kawasaki disease consisted of 3 first-level indicators and 34 second-level indicators.Conclusions The established health literacy evaluation index system for parents of children with Kawasaki disease is scientific and reliable,which can provide an effective tool for nursing staff to accurately assess the health literacy of parents of children with Kawasaki disease.

关 键 词：川崎病 健康素养 评估 德尔菲法 

分 类 号：R473.72[医药卫生—护理学]