尘肺病患者基于心理干预为主导的护理策略的构建  

Establishment of Nursing Strategy in Patients with Pneumoconiosis Based on Psychological Interventio

作　　者：周宇燕 章一华 高杰 王建元 ZHOU Yu-yan;ZHANG Yi-hua※;GAO Jie;WANG Jian-yuan(Shenzhen Prevention and Treatment Center for Occupational Diseases,Guangdong Shenzhen 518000)

机构地区：[1]深圳市职业病防治院,广东深圳518000

出　　处：《深圳中西医结合杂志》2023年第3期14-19,共6页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：国家职业病临床重点专科建设项目(WY2011873);深圳市科技计划基础研究面上项目(JCYJ20210324135204012)。

摘　　要：目的:采用德尔菲法构建尘肺病患者以心理干预为主导的护理策略。方法:采用住院患者预调查、访谈法和文献资料法,构建尘肺病患者以心理健康干预为主导的护理策略的框架内容,采用德尔菲法于2021年3月至2021年6月对16名专家进行两轮咨询。结果:两轮专家函询的有效回收率均为100%,咨询专家积极系数为100%,专家权威程度为0.88(>0.7)。第二轮函询条目重要性变异系数(CV)为0~0.29,条目可行性CV为0~0.28,均<0.03;条目重要性和可行性的肯德尔协调系数(W)分别为0.360和0.424,且P<0.01。确定的尘肺病患者心理干预护理策略方案指标体系有3个一级指标、13个二级指标、38个三级指标。结论:采用德尔菲法构建的以心理干预为主导的护理策略能够为尘肺病患者的个性化临床护理提供参考。Objective To establish a nursing strategy based on psychological intervention for patients with pneumoconiosis through the Delphi method.Methods The framework of the nursing strategy based on psychological intervention for pneumoconiosis patients was constructed by using the inpatient pre-survey,interview method and literature method.The Delphi method was used to conduct two rounds of consultation with 16 experts from March 2021 to June 2021.Results The effective recovery rates of the two rounds of mailing interview were both 100%,the positive coefficient of consulting experts was 100%,the degree of authority of experts was 0.88(>0.7).In the second round of inquire by letter,the coefficient of variation(CV)of item importance was 0 to 0.29,and the CV of item feasibility was 0 to 0.28,both<0.03.The Kendall coordination coefficients(W)for item importance and feasibility were 0.360 and 0.424,respectively,with P<0.01.The indicator system of psychological intervention nursing strategies for pneumoconiosis patients was determined to have 3 first-level indicators,13 second-level indicators,and 38 third-level indicators.Conclusion The nursing program based on psychological intervention established through the Delphi method can provide a reference for personalized clinical care for patients with pneumoconiosis.

关 键 词：尘肺病 德尔菲法 心理干预 护理宣教 

分 类 号：R395.6[哲学宗教—心理学] R135.2[医药卫生—医学心理学]