基于计划行为理论的精神科医学保护性约束解除评估表的构建  

Construction of an assessment form for release of protective restraints in department of psychiatric medicine based on theory of planned behavior

作　　者：高静[1] 许冬梅[2] 蔡壮[3] 张卫东[4] 苑鸣顺[5] 高冬芳[6] 谷嘉宁 张梦倩 Gao Jing;Xu Dongmei;Cai Zhuang;Zhang Weidong;Yuan Mingshun;Gao Dongfang;Gu Jianing;Zhang Mengqian(The 3rd Unit,Second Clinical Department,Bei Jing Hui Longguan Hospital,Beijing 100096,China)

机构地区：[1]北京回龙观医院临床二科3病区,北京100096 [2]北京回龙观医院护理部,北京100096 [3]北京回龙观医院临床五科10病区,北京100096 [4]北京回龙观医院临床三科5病区,北京100096 [5]北京回龙观医院临床心理科26病区,北京100096 [6]北京回龙观医院中西医结合科22病区,北京100096

出　　处：《护理学杂志》2022年第20期19-22,共4页Journal of Nursing Science

基　　金：北京市医院管理中心“青苗”计划专项经费资助项目(QML20202002)。

摘　　要：目的构建适合的精神科医学保护性约束解除评估表,为患者约束提供安全保障。方法在查阅文献、专家访谈的基础上,根据计划行为理论模型,采用德尔菲专家咨询法对13个省、直辖市的20名护理专家进行2轮函询,确立精神科医学保护性约束解除评估表的条目。进而请6名专家对评估表的内容效度进行评价。结果2轮函询专家的积极系数为100%,权威系数为0.908、0.950,Kendall协调系数分别为0.157、0.238(均P<0.05)。最终确立了5个一级指标(情绪情感、行为、合作程度、对约束健康教育的认知、意识状况),20个二级指标的精神科医学保护性约束解除评估表。该评估表内容效度指数为0.962。结论初步建立的精神科医学保护性约束解除评估表较科学、可靠,可以作为精神科医学保护性约束解除的评估工具,以规范临床约束行为。Objective To construct an assessment form for the release of protective restraints in department of psychiatric medicine,and to provide guarantee for patient safety.Methods Based on literature review and expert interviews,and based on the theoretical model of planned behavior,the Delphi method was used to conduct 2 rounds of expert consultation involving 20 nursing experts from 13 provinces and municipalities to establish an assessment form for the release of protective restraints in department of psychiatric medicine.Then another 6 experts were invited to assess the content validity index(CVI)of the assessment form.Results The expert response rate stood at 100%in both rounds.The authority coefficients were 0.908 and 0.950,and the Kendall coordination coefficients were 0.157 and 0.238,respectively(all P<0.05).Finally,the assessment form for the release of protective restraints in department of psychiatric medicine had five first-level indicators(emotions,behavior,degree of cooperation,knowledge of restraint related health education,and awareness)and 20 second-level indicators.S-CVI of the form was 0.962.Conclusion The preliminarily established assessment form for the release of protective restraints is scientific and reliable.It can be used as a tool for the removal of protective restraints,making usage of protective restraints in clinical settings more standardized.

关 键 词：精神科 约束 保护性约束 精神疾病 解除 计划行为理论 德尔菲法 评估表 

分 类 号：R473.74[医药卫生—护理学]