精神科抑郁症患者出院准备服务需求评估工具的构建  

Construction of a Discharge Preparation Service Demand Assessment Scale for Psychiatric Patients with Depression

作　　者：罗薇 许冬梅[2] 邵静[2] 于辉[1] 刘晓[3] 李莉辉[2] 张梦倩 屈燕花 叶晓露 陈红婷 王丽 程俊香 Luo Wei;Xu Dongmei;Shao Jing;Yu Hui;Liu Xiao;Li Lihui;Zhang Mengqian;Qu Yanhua;Ye Xiaolu;Chen Hongting;Wang Li;Cheng Junxiang(Rehabilitation Department,Beijing Huilongguan Hospital,Beijing 100096,China;Nursing Department,Beijing Huilongguan Hospital,Beijing 100096,China;Department of Clinical Psychology,Beijing Huilongguan Hospital,Beijing 100096,China;First Clinical Department,Beijing Huilongguan Hospital,Beijing 100096,China;Third Clinical Department,Beijing Huilongguan Hospital,Beijing 100096,China;Nursing Department,Xiamen Xianyue Hospital,Xiamen 361012,China;Psychiatry Department,First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]北京回龙观医院康复科,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心理科,北京100096 [4]北京回龙观医院临床一科,北京100096 [5]北京回龙观医院临床三科,北京100096 [6]厦门市仙岳医院护理部,厦门361012 [7]山西医科大学第一医院精神科,太原030001

出　　处：《中华现代护理杂志》2023年第35期4849-4854,共6页Chinese Journal of Modern Nursing

基　　金：北京回龙观医院"龙跃计划"基金(LY202207)。

摘　　要：目的构建精神科抑郁症患者出院准备服务需求评估工具。方法采用便利抽样法,选取来自精神科护理、精神科管理、康复治疗等领域的25名专家为函询对象。研究小组在文献回顾的基础上,结合临床经验,采用德尔菲法对25名专家进行2轮函询,形成精神科抑郁症患者出院准备服务需求评估工具。专家的积极程度采用问卷有效回收率评价;专家的权威程度采用权威系数评价;专家意见的集中程度采用条目重要性赋值均数、变异系数评价;专家意见的协调程度采用肯德尔协调系数表示。结果2轮函询问卷的有效回收率均为100%,专家权威系数为0.890、0.904,专家意见的肯德尔协调系数为0.247、0.203(P<0.05),最终构建了包含10个维度、38个条目的精神科抑郁症患者出院准备服务需求评估工具。结论构建的精神科抑郁症患者出院准备服务需求评估工具科学可靠,可为临床护理人员评估精神科抑郁症患者出院准备服务需求提供依据。Objective To construct a Discharge Preparation Service Demand Assessment Scale for Psychiatric Patients with Depression.Methods Convenience sampling was used to select 25 experts from fields such as psychiatric nursing,psychiatric management,and rehabilitation treatment as the subject of the consultation.On the basis of literature review and clinical experience,the research group used the Delphi method to conduct two rounds of consultation with 25 experts,forming a Discharge Preparation Service Demand Assessment Scale for Psychiatric Patients with Depression.The enthusiasm of experts was evaluated using the effective response rate of the questionnaires.The authority level of experts was assessed using an authority coefficient.The concentration of expert opinions was evaluated using the mean of item importance assignment and coefficient of variation.The degree of coordination of expert opinions was represented by the Kendall coordination coefficient.Results The effective response rates of the two rounds of consultation questionnaires were all 100%,with expert authority coefficients of 0.890 and 0.904,and the Kendall coordination coefficients of expert opinions of 0.247 and 0.203(P<0.05).The Discharge Preparation Service Demand Assessment Scale for Psychiatric Patients with Depression was constructed,which included 10 dimensions and 38 items.Conclusions The Discharge Preparation Service Demand Assessment Scale for Psychiatric Patients with Depression is scientific and reliable,which can provide a basis for clinical nurses to evaluate the discharge preparation service demands of psychiatric patients with depression.

关 键 词：精神疾病 精神科 出院准备服务 抑郁症患者 德尔菲法 

分 类 号：R473.74[医药卫生—护理学]