2型糖尿病患者自我管理支持强化阶段干预方案的构建  

Construction of a self-management support intensive phase intervention programs for Type 2 Diabetes Mellitus patients

作　　者：邢树平 李斌[3] 李明子[4] 秦娜 何昭好 周文杰 蒋新军[1] XING Shuping;LI Bin;LI Mingzi;QIN Na;HE Zhaohao;ZHOU Wenjie;JIANG Xinjun(International Nursing School,Hainan Medical University,Haikou,571199,China)

机构地区：[1]海南医学院国际护理学院,海口市571199 [2]海南省人民医院内分泌科 [3]海南省人民医院护理部 [4]北京大学护理学院 [5]海南省人民医院手术室 [6]海南医学院第一附属医院肾内科

出　　处：《中国护理管理》2023年第10期1493-1499,共7页Chinese Nursing Management

基　　金：海南省自然科学基金(820RC631);海南省科协青年科技英才创新计划项目(QCXM202019);海南省科学技术厅2022年省重点研发项目(ZDYF2022SHFZ102)。

摘　　要：目的:构建2型糖尿病患者自我管理支持强化阶段的干预方案,为糖尿病管理者及教育者提供参考依据。方法:基于文献回顾、结合项目组前期研究结果及社会认知理论,初步形成2型糖尿病患者自我管理支持强化期干预方案。通过德尔菲法进行2轮专家函询,最终确定干预方案。结果:2轮专家函询问卷有效回收率分别为100.0%和92.9%,权威系数分别为0.882和0.885,2轮专家的肯德尔协调系数分别为0.149和0.175(P<0.05);变异系数分别为0.09~0.23和0~0.15。最终干预方案包括3个干预时机(整体糖尿病患者自我管理支持干预方案的第3、6、9个月),3个干预主题(行为强化、行为维持、情绪管理),3个干预总目标,9个干预分目标,21条干预内容。结论:糖尿病患者自我管理支持强化阶段干预方案具有必要性、合理性、可靠性、权威性及科学性,可为糖尿病患者的自我管理支持提供参考,对指导临床护理工作具有重要意义。Objective:To construct a self-management support intensive phase intervention programs for Type 2 Diabetes Mellitus patients,and to provide a reference for health management and education of diabetes.Methods:Based on the literature review,the previous studies conducted by the project team and social cognitive theory,a preliminary self-management support intensive phase intervention programs for Type 2 Diabetes Mellitus patients was developed.A total of 13 experts were invited to participate in a two-round Delphi consultation to finalize the program.Results:The effective recovery rate of the two Delphi expert consultations were 100.0%and 92.9%,respectively,with the authority coefficient being 0.882 and 0.885,the Kendall coordination coefficients being 0.149 and 0.175(P<0.05)and the coefficient of variation ranging from 0.09 to 0.23 and 0 to 0.15,respectively.The final intervention program consisted of 21 items of intervention contents concerning 3 intervention time points(the third,sixth and ninth month of structured education),3 themes including behavior reinforcement,behavior maintenance,and emotion management,3 general goals and 9 sub-goals for intervention.Conclusion:The diabetes self-management support intensive phase intervention programs constructed in this study is necessary,reasonable,reliable,authoritative and scientific,which can provide a reference for self-management support for diabetes patients and is of great significance for guiding clinical nursing work.

关 键 词：2型糖尿病 结构化教育 自我管理支持 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]