肠造口患者护理评估体系的构建  

Construction of nursing evaluation system for patients with enterostomy

作　　者：张亚娟 李丹[1] 吕桂芬 刘柳 Zhang Yajuan;Li Dan;Lyu Guifen;Liu Liu(Department of Anorectal Surgery,Dongfang Hospital Affiliated to Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学附属东方医院肛肠外科,上海200120

出　　处：《中华现代护理杂志》2022年第19期2540-2547,共8页Chinese Journal of Modern Nursing

基　　金：2021年同济大学研究生教育研究与改革医学专项项目(2021YXAL09);国家自然科学基金(81702961);上海市护理学会优秀青年人才育苗计划(沪护会[2020]29号);中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRI20211040);浦东新区卫生系统领先人才培养计划(PWR12020-10)。

摘　　要：目的构建肠造口患者护理评估体系, 为制订肠造口患者个性化护理方案提供依据。方法于2020年11月—2021年6月, 以世界卫生组织提出的健康相关生存质量概念框架、跨文化护理理论为理论指导, 通过循证证据的提取, 结合质性访谈结果, 形成初稿方案;采用目的抽样法, 选取20名肠造口相关领域的医疗、护理专家进行德尔菲专家函询, 对初稿方案进行修订, 确定肠造口患者护理评估体系。结果 2轮专家函询问卷的有效回收率均为100.00%(20/20), 专家权威系数均为0.89, 肯德尔协调系数分别为0.23、0.32(P均<0.01)。最终形成包括4个一级指标、22个二级指标、102个三级指标的肠造口患者护理评估体系。结论肠造口患者护理评估体系框架内容完整, 构建过程科学、可靠, 对肠造口患者进行整体性护理评估具有指导价值。Objective To construct a nursing evaluation system for patients with enterostomy to provide a basis for formulating individualized nursing programs for patients with enterostomy.Methods From November 2020 to June 2021,based on the conceptual framework of health-related quality of life proposed by the World Health Organization and the cross-cultural nursing theory as theoretical guidance,the first draft plan was formed through the extraction of evidence-based evidence and the results of qualitative interviews.Using the purposeful sampling method,20 medical and nursing experts in enterostomy-related fields were selected to carry out Delphi expert letter inquiries,the first draft plan was revised,and a nursing evaluation system for colostomy patients was established.Results The effective recovery rate of the two rounds of expert letter questionnaires was 100.00%.Expert authority coefficients were both 0.89.Kendall's coordination coefficients were 0.23 and 0.32,respectively(P<0.01).Finally,a nursing evaluation system for enterostomy patients was formed,including 4 first-level indexes,22 second-level indexes and 102 third-level indexes.Conclusions The framework of the nursing evaluation system for patients with enterostomy is complete,the construction process is scientific and reliable,and it has guiding value for the overall nursing evaluation of patients with enterostomy.

关 键 词：肠造口术 护理评估 德尔菲法 构建 

分 类 号：R473.6[医药卫生—护理学]