基于德尔菲法构建先天性巨结肠患儿术后污粪风险评估调查表  

Construction of postoperative fecal soiling risk assessment questionnaire for children with hirschsprung’s disease based on Delphi method

作　　者：覃花杏 黄秋环[2] 吕昌恒[1] 黄秀娟 王立思 蒙智琼 QIN Huaxing;HUANG Qiuhuan;LYU Changheng;HUANG Xiujuan;WANG Lisi;MENG Zhiqiong(Department of Pediatric Surgery,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise 533000,China;Department of Nursing,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise 533000,China;School of Nursing,Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise 533000,China)

机构地区：[1]右江民族医学院附属医院小儿外科,广西百色533000 [2]右江民族医学院附属医院护理部,广西百色533000 [3]右江民族医学院护理学院,广西百色533000

出　　处：《中国医药导报》2022年第29期55-59,共5页China Medical Herald

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2020121);广西壮族自治区卫生健康委员会立项课题(20210781);广西壮族自治区百色市科学研究与技术开发计划项目(百科字〔2021〕11号-20)。

摘　　要：目的构建先天性巨结肠(HSCR)患儿术后污粪风险评估调查表(以下简称“评估调查表”),为早期识别、干预HSCR术后污粪高危人群提供参考依据。方法本研究以失效模式与效应分析为理论依据,于2020年10月至2021年3月,先通过文献阅读及小组讨论构建评估调查表草案,再经专家小组讨论会议形成评估调查表初稿,最后采用德尔菲法对16名小儿外科相关领域专家进行2轮函询,初步确立评估调查表定稿。结果两轮专家咨询的函询问卷回收率均为100%,权威系数依次为0.925、0.928,肯德尔和谐系数依次为0.318、0.352(P<0.001),最终确立的评估调查表包括4个维度(一级指标),15个条目(二级指标)。结论基于德尔菲法构建的评估调查表,具有较好的科学性、可靠性、全面性,一定程度上可作为HSCR术后污粪高危人群的测评工具,对管理此类人群具有重要指导意义。Objective To construct a post-operative fecal risk assessment questionnaire(hereinafter referred to as“assessment questionnaire”)for children with hirschsprung’s disease(HSCR),and to provide a reference for early identification and intervention of high-risk groups of fecal soiling after HSCR.Methods Based on failure mode and effect analysis,from October 2020 to March 2021,a draft evaluation questionnaire was constructed through literature reading and group discussion,and then the first draft of the evaluation questionnaire was formed through an expert group discussion meeting.Finally,the Delphi method was used to conduct two rounds of correspondence to 16 experts in pediatric surgery-related fields,and the final draft of the evaluation questionnaire was initially established.Results In the two rounds of expert consultation,the recovery rate of the questionnaire was 100%,the authority coefficient was 0.925,0.928,and the Kendall harmony coefficient was 0.318,0.352(P<0.001).The final evaluation questionnaire includes four dimensions(primary indicators)and 15 items(secondary indicators).Conclusion The evaluation questionnaire constructed based on the Delphi method has good scientificity,reliability and comprehensiveness.To a certain extent,it can be used as an evaluation tool for the high-risk population of fecal soiling after HSCR,and has important guiding significance for the management of such populations.

关 键 词：德尔菲法 先天性巨结肠 术后污粪 风险评估 

分 类 号：R726.5[医药卫生—儿科]