鼻咽癌放化疗患者健康教育效果评价指标体系的构建  

Establishment of an evaluation index system for health education among nasopharyngeal carcinoma patients with radio-chemotherapy

作　　者：卢佳美[1] 李维 廖金莲[1] 黄晓君 胡凯[1] 汤秋明[1] 梁丽敏 冯燕 杨桂荣 杨丽[2] LU Jiamei;LI Wei;LIAO Jinlian;HUANG Xiaojun;HU Kai;TANG Qiuming;LIANG Limin;FENG Yan;YANG Guirong;YANG Li

机构地区：[1]广西医科大学第一附属医院放疗科,南宁市530021 [2]广西医科大学第一附属医院护理部,南宁市530021

出　　处：《中华护理杂志》2022年第8期942-950,共9页Chinese Journal of Nursing

基　　金：广西高校中青年教师科研基础能力提升项目(2021KY0126);2021年广西医科大学第一附属医院自设科研培育项目(YYZS2021-006)。

摘　　要：目的 构建鼻咽癌放化疗患者健康教育效果评价指标体系,为护理工作者评价鼻咽癌放化疗患者健康教育效果,开展针对性的健康教育与指导工作提供理论依据。方法 2021年3月-7月,组建多学科研究团队,以知信行理论为基础,通过文献检索、半结构式访谈法、德尔菲专家函询法及层次分析法,确定鼻咽癌放化疗患者健康教育效果评价指标体系及各指标权重。结果 2轮函询的有效问卷回收率分别为85.0%和100%,专家权威程度系数分别为0.932、0.935;2轮函询各级指标的肯德尔和谐系数分别为0.235~0.326、0.302~0.419(P<0.01)。最终构建包括3个一级指标、19个二级指标和73个三级指标的鼻咽癌放化疗患者健康教育效果评价指标体系。结论 该研究构建的鼻咽癌放化疗患者健康教育效果评价指标体系,可为临床护理人员进行全面、高效的健康教育效果评价提供统一参考。Objective We aimed to establish an evaluation index system for health education among patients with nasopharyngeal carcinoma(NPC) who are undergoing radio-chemotherapy. As a theoretical basis,this system may be applied by the clinical nurses to carry out targeted health education and guidance among NPC patients undergoing radio-chemotherapy and to evaluate the effect of health education. Methods From March to July 2021,we constituted a structured multidisciplinary research team,including oncologists,nurse specialists,nutritionists,et al,based on the theory of Knowledge-Belief-Practice. Literature review,semi-structured interviews,as well as the Delphi method and Multi-dimensional Analytic Hierarchy Process,were used to establish a framework of the evaluation index system and set weighted value for each evaluation index. Results The response rates of the 2 rounds of expert consultations are 85.0% and 100%.The expert authority coefficients are 0.932 and 0.935,respectively.The total Kendall harmony coefficients of the 2 rounds of expert consultations are 0.235~0.326 and 0.302~0.419(P<0.01).As a result,we built up an evaluation index system of health education which comprised 3 first-level indexes,19second-level indexes and 73 third-level indexes for NPC patients undergoing radio-chemotherapy. Conclusion The evaluation index system may provide evidence and a practice tool for clinical nurses in conducting a comprehensive and efficient evaluation of health education among NPC patients undergoing radio-chemotherapy.

关 键 词：鼻咽癌 放化疗 健康教育 效果评价指标 护理管理研究 

分 类 号：R473.73[医药卫生—护理学]