我国青少年结核病患者跨文化自我管理目标激励框架的构建  

Construction of transcultural self-management objective incentive framework for adolescents with tuberculosis in China

作　　者：陶玉琼 游美英 陈烁 谢鑑辉 Tao Yuqiong;You Meiying;Chen Shuo;Xie Jianhui(Department of Infectious Disease,the Affiliated Children's Hospital of Xiangya School of Medicine,Central South University(Hunan children's hospital),Changsha 410007,China;Department of Nursing,the Affiliated Children's Hospital of Xiangya School of Medicine,Central South University(Hunan children's hospital),Changsha 410007,China)

机构地区：[1]中南大学湘雅医学院附属儿童医院(湖南省儿童医院)感染科,长沙410007 [2]中南大学湘雅医学院附属儿童医院(湖南省儿童医院)护理部,长沙410007

出　　处：《中华现代护理杂志》2024年第24期3293-3298,共6页Chinese Journal of Modern Nursing

基　　金：湖南省卫生健康委科研计划(C202314048464)。

摘　　要：目的构建青少年结核病患者跨文化自我管理目标激励框架,为提升青少年结核病患者自我管理能力提供参考。方法以跨文化护理与过程型激励理论为基础,在小组讨论、文献检索的基础上,采用德尔菲法对来自全国8家三级甲等医院的24名专家进行函询,形成青少年结核病患者跨文化自我管理目标激励框架。专家的积极系数通过计算问卷回收率进行评价,协调程度通过肯德尔和谐系数表示,权威程度通过专家咨询的权威系数表示。结果经过2轮函询,专家的积极系数均为100%,专家权威系数均为0.965,专家意见的肯德尔和谐系数分别为0.309和0.402(P<0.05)。最终形成了包含6项一级指标,24项二级指标,49项三级指标的青少年结核病患者跨文化自我管理目标激励框架。结论专家函询的积极性、权威性较好,构建的青少年结核病患者跨文化自我管理目标激励框架有助于提高青少年结核病患者的自我管理能力。Objective To build a transcultural self-management objective incentive framework for adolescents with tuberculosis,so as to provide reference for improving the self-management ability of adolescents with tuberculosis.Methods Based on the theory of transcultural nursing and process motivation,group discussion and literature search,24 experts from eight ClassⅢGrade A hospitals across the country were consulted by Delphi method to form a transcultural self-management objective incentive framework for adolescents with tuberculosis.The positive coefficient of experts was evaluated by questionnaire response rate,the degree of coordination was expressed by the Kendall harmony coefficient,and the degree of authority was expressed by the authority coefficient of expert consultation.Results After two rounds of consultation,the positive coefficients of experts were both 100%,the authoritative coefficients of the experts were 0.965,and the Kendall harmony coefficients of the expert opinions were 0.309 and 0.402,respectively(P<0.05).Finally,a transcultural self-management objective incentive framework for adolescents with tuberculosis was formed,including six first-level indicators,24 second-level indicators and 49 third-level indicators.Conclusions The transcultural self-management objective incentive framework for adolescents with tuberculosis has high enthusiasm and authority for expert consultation,which is helpful to improve the self-management ability of adolescents with tuberculosis.

关 键 词：结核病 青少年 框架构建 自我管理 目标激励 跨文化护理 

分 类 号：R529.9[医药卫生—内科学]