妊娠期糖尿病孕妇风险感知评价指标的构建  

Construction of risk perception evaluation index for pregnant women with gestational diabetes mellitus

作　　者：陈钰妹 赵惠芬[2] 赵梅晶[2] 赵晓珊 彭玉美 沈丽琴 CHEN Yumei;ZHAO Huifen;ZHAO Meijing;ZHAO Xiaoshan;PENG Yumei;SHEN Liqin(Nursing College of Fujian Medical University,Fuzhou 350122,China;The Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学护理学院,福建省福州市350122 [2]福建医科大学附属第二医院,福建省泉州市362000

出　　处：《护理实践与研究》2024年第7期1064-1069,共6页Nursing Practice and Research

基　　金：泉州市科学技术局科技计划项目(编号:2022NS081)。

摘　　要：目的通过德尔菲专家咨询法构建妊娠期糖尿病孕妇风险感知评价指标体系,为编制妊娠期糖尿病孕妇风险感知量表提供理论依据,进而为医护人员开展妊娠期糖尿病孕妇风险感知相关探索性研究提供评估工具。方法2022年7—8月通过对文献回顾及质性访谈形成的妊娠期糖尿病孕妇风险感知评价指标体系初稿,联系12名相关领域的专家进行2轮德尔菲专家咨询,使用专家积极系数、权威系数、肯德尔和谐系数验证咨询结果的可靠性。结果第1轮各指标均分范围为4.25~5.00,变异系数范围0.00~0.26;第2轮各指标均分范围为4.33~5.00,变异系数范围0.00~0.17。本研究中第1轮和第2轮的专家积极系数均为100%,专家权威系数分别为0.83、0.86,肯德尔和谐系数分别为0.143、0.163。2轮专家咨询最终形成6个一级指标、41个二级指标的妊娠期糖尿病孕妇风险感知评价指标体系。结论基于德尔菲专家咨询形成的妊娠期糖尿病孕妇风险感知评价指标体系具有一定科学性和可靠性,可为构建妊娠期糖尿病孕妇风险感知量表提供参考。Objective To construct the risk perception evaluation index system for pregnant women with gestational diabetes mellitus through the Delphi method,provide a theoretical basis for the development of risk perception scale for pregnant women with gestational diabetes mellitus,and offer an assessment tool for medical personnel to conduct exploratory studies on the risk perception of pregnant women with gestational diabetes mellitus.Methods From July to August 2022,the first draft of the risk perception evaluation index system for pregnant women with gestational diabetes mellitus,formed through literature review and qualitative interviews,was subjected to two rounds of Delphi expert consultation involving 12 experts in the relevant field.The reliability of the consultation results was verified using expert positive coefficient,authority coefficient,and Kendall's coefficient of concordance.Results In the first round,the average scores for each index ranged from 4.25 to 5.00,with a coefficient of variation ranging from 0.00 to 0.26.In the second round,the average scores for each indicator ranged from 4.33 to 5.00,with a coefficient of variation ranging from 0.00 to 0.17.The expert positive coefficient in the first and the second round were both 100%,the authority coefficients were 0.83 and 0.86,and Kendall's coefficient of concordance were 0.143 and 0.163,respectively.After two rounds of expert consultation,the evaluation index system for risk perception in pregnant women with gestational diabetes mellitus comprising 6 first-level indexes and 41 second-level indexes was finally formed.Conclusion The risk perception evaluation index system for pregnant women with gestational diabetes mellitus,constructed through Delphi method,has a certain degree of scientific validity and reliability,and can provide a reference for constructing the risk perception scale for pregnant women with gestational diabetes mellitus.

关 键 词：妊娠期糖尿病 孕妇 风险感知 德尔菲法 指标体系 

分 类 号：R473.71[医药卫生—护理学]