基于德尔菲法构建老年维持性血液透析患者支持性照护方案  

Construction of a supportive care program for elderly maintenance hemodialysis patients based on the Delphi method

作　　者：周怡 易梦廷 苑影影 陈静 郭淳 莫永珍[3] 盛娟[4] ZHOU Yi;YI Mengting;YUAN Yingying;CHEN Jing;GUO Chun;MO Yongzhen;SHEN Juan(School of Nursing,Suzhou Medical College of Soochow University,Suzhou 215006,China;School of Nursing,Nanjing Medical University,Nanjing 211166,China;Geriatric Comprehensive Assessment Laboratory,Jiangsu Provincial Official Hospital,Nanjing 210024,China;Department of Nephrology,Jiangsu Provincial Official Hospital,Nanjing 210024,China)

机构地区：[1]苏州大学医学部护理学院,江苏苏州215006 [2]南京医科大学护理学院,江苏南京211166 [3]江苏省省级机关医院老年综合评估研究室,江苏南京210024 [4]江苏省省级机关医院肾内科,江苏南京210024

出　　处：《医药高职教育与现代护理》2024年第2期125-131,共7页Medical Higher Vocational Education and Modern Nursing

基　　金：江苏省卫生健康委科研项目(M2020056)。

摘　　要：目的基于支持性照护理论构建老年维持性血液透析患者支持性照护方案。方法采用文献回顾和研究小组讨论的方法,形成老年维持性血液透析患者支持性照护方案初稿,通过德尔菲专家函询,确定照护方案的内容。结果共进行2轮专家函询,2轮问卷有效回收率均为100%,专家权威系数分别为0.917、0.953,肯德尔协调系数分别为0.188、0.396(P<0.001)。2轮函询后,方案的各条目重要性赋值均分为4.333~4.933,变异系数为0.052~0.188,形成的最终方案包括6个一级指标、18个二级指标和51个三级指标。结论该研究形成的老年维持性血液透析患者支持性照护方案具有科学性和临床适用性,可为血透人群的临床管理实践提供理论依据。Objective Construction of a supportive care program for elderly maintenance hemodialysis patients based on supportive care theory.Methods The first draft of the protocol was developed using the literature review method and study group discussions,and the content of the supportive care protocol for maintenance hemodialysis patients was determined through two rounds of Delphi expert correspondence.Results A total of two rounds of expert correspondence were conducted,and the effective recall rate of the two rounds of questionnaires was 100%,the expert authority coefficients was 0.917 and 0.953,respectively,and the Kendall coordination coefficients were 0.188 and 0.396,respectively(P<0.001).The importance assignments of each entry were in the range of 4.333-4.933,with coefficients of variation in the range of 0.052-0.188.The final scheme consisted of six primary indicators,18 secondary indicators and 51 tertiary indicators.Conclusions The supportive care program for maintenance hemodialysis patients developed in this study is scientifically and clinically applicable and may provide a theoretical basis for clinical management of events in the hemodialysis population.

关 键 词：维持性血液透析 支持性照护 德尔菲法 护理 

分 类 号：R473.5[医药卫生—护理学]