糖尿病足住院患者决策信息需求问题提示列表的构建及可行性评估  

Development of a question prompt list on decision making in patients with diabetic foot:a feasibility study

作　　者：李姗姗 黄红艳[1] 郑洁[3] Li Shanshan;Huang Hongyan;Zheng Jie(Department of Nursing,Liyuan Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430077,China)

机构地区：[1]华中科技大学同济医学院附属梨园医院护理部 [2]华中科技大学同济医学院护理学院 [3]华中科技大学同济医学院附属梨园医院创面修复科,湖北武汉430077

出　　处：《护理学杂志》2024年第9期36-40,共5页Journal of Nursing Science

基　　金：2023年度华中科技大学同济医学院护理学院自主创新项目(ZZCX2023L001)。

摘　　要：目的 构建糖尿病足住院患者决策信息需求问题提示列表,为促进其参与医疗决策提供实用工具。方法 通过查阅文献、咨询临床一线的专科医护人员、半结构式访谈、德尔菲专家函询并经过临床调适后确定问题提示列表患者版本,便利抽样法选取39例住院患者对问题提示列表在临床使用的可行性进行评估。结果 2轮专家函询的积极系数分别为95.00%和100.00%,专家权威系数为0.951、0.948;第2轮专家函询,指标重要性及相关性的肯德尔协调系数分别为0.214、0.200(均P<0.05)。最终的问题提示列表包括6个一级指标和43个二级指标。41.03%~69.23%的患者认可问题提示列表的临床使用效果。结论 糖尿病足住院患者决策信息需求问题提示列表具有可行性,能够帮助住院患者提出更多疾病相关问题,改善医患沟通,促进患者参与医疗决策。Objective To develop a question prompt list(QPL)on decision making in patients with diabetic foot,and to provide a practical tool for promoting their participation in medical decision-making.Methods The patient version of the QPL was formulated by using literature review,consultation with first-line medical staff,semi-structured interviews,Delphi consultation and clinical adaptation.Then,a convenience sample of 39 patients were selected to evaluate the clinical feasibility of the QPL.Results Questionnaire return rate in two rounds of Delphi consultation was 95.00%and 100.00%respectively,and the authority coefficient was 0.951 and 0.948.The Kendall′s W of importance and relevance of the indicators was 0.214 and 0.200 respectively(both P<0.05).The QPL included 6 primary indicators and 43 secondary indicators.About 41.03%-69.23%of the patients approved of the efficacy of the QPL.Conclusion The QPL on decision making for patients with diabetic foot is feasible,which can help them ask more disease-related questions,improve doctor-patient communication,and promote patients′participation in decision making.

关 键 词：糖尿病足 医疗决策 信息需求 问题提示列表 决策参与 共同决策 德尔菲法 内科护理 

分 类 号：R473.5[医药卫生—护理学] R587.1[医药卫生—临床医学]