慢性阻塞性肺疾病稳定期患者居家随访清单的编制  

Compilation of Home Follow-Up List for Patients with Stable Chronic Obstructive Pulmonary Disease

作　　者：连萌 马京华[3] 苏爱如 王秋爽 史新慧 李妍 LIAN Meng;MA Jinghua;SU Airu;WANG Qiushuang;SHI Xinhui;LI Yan(Nursing School,Hebei Medical University,Shijiazhuang 050000,China;Medical Development Division,Hebei Chest Hospital,Shijiazhuang 050000,China;School of Nursing/Hebei Key Laboratory of Health Care with Traditional Chinese Medicine,Hebei University of Chinese Medicine,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学护理学院,河北省石家庄市050000 [2]河北省胸科医院医疗发展处,河北省石家庄市050000 [3]河北省中医药大学护理学院,河北省中医药康养照护研究重点实验室,河北省石家庄市050000

出　　处：《实用心脑肺血管病杂志》2024年第10期12-19,共8页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：河北省重点研发计划项目(22377787D)。

摘　　要：目的编制慢性阻塞性肺疾病(COPD)稳定期患者居家随访清单。方法(1)文献检索:按照“6S”证据模式自上而下系统检索中国知网、万方数据知识服务平台、维普网、PubMed、Embase、Web of Science中与COPD稳定期患者院外随访、延续护理相关的临床实践指南、证据总结、专家共识、系统评价。检索时限为2018年1月—2023年10月。筛选并整理文献,之后拟定COPD稳定期患者居家随访清单初稿。(2)半结构式访谈:采用便利抽样法选取河北省胸科医院2023年1—10月收治的10例COPD稳定期出院患者及该院5名呼吸内科医护人员为半结构式访谈对象。采用半结构式访谈提纲对受访者进行半结构式访谈,使用主题分析法整理分析访谈内容,最终形成COPD稳定期患者居家随访清单二稿。(3)专家函询:2023年10月通过邮件方式进行多轮专家函询,直至专家意见趋于一致。采用专家函询问卷的有效回收率评估专家积极程度,采用专家权威系数(Cr)评估专家权威程度,采用变异系数和Kendall协调系数评估专家意见协调程度。根据专家函询结果,最终形成COPD稳定期患者居家随访清单三稿。(4)预实验:采用便利抽样法选取2024年2—3月河北省胸科医院收治的10例COPD稳定期出院患者为调查对象。由2名呼吸科护士根据COPD稳定期患者居家随访清单三稿对受试者进行为期2个月的随访。随访结束后采用自制随访清单应用评价问卷对患者及随访护士进行调查。根据调查结果,最终形成COPD稳定期患者居家随访清单。结果(1)最终纳入文献23篇。根据文献内容,最终拟订了COPD稳定期患者居家随访清单初稿,其包括6个一级指标、15个二级指标及20个三级指标。(2)根据半结构式访谈结果形成COPD稳定期患者居家随访清单二稿,其包括6个一级指标、16个二级指标及23个三级指标。(3)共进行了2轮专家函询,专家函询问卷的有效回收�Objective To construct a home follow-up list for patients with stable chronic obstructive pulmonary disease(COPD).Methods(1)Literature search:according to the"6S"evidence model,a top-down systematic search was conducted for clinical practice guidelines, evidence summaries, expert consensus, and systematic reviews related to out-of-hospital follow-up and extended care of stable COPD patients from CNKI, Wanfang Data, VIP, PubMed, Embase, and Web of Science. The search period was from January 2018 to October 2023. The literature was screened and collated, and then the initial draft of the home follow-up list for patients with stable COPD was developed. (2) Semi-structured interview: a total of 10 stable COPD discharged patients admitted to Hebei Chest Hospital from January to October 2023 and 5 respiratory medical staff from the hospital were selected as semi-structured interview subjects by convenience sampling method. Semi-structured interview outline was used to conduct the semi-structured interview with the interviewees, and subject analysis was used to sort out and analyze, and finally the second draft of the home follow-up list for patients with stable COPD was formed. (3) Expert letter consultation: in October 2023, several rounds of expert letter consultation were distributed by email until the expert opinions converged. The effective recovery rate of the expert correspondence questionnaire was used to evaluate the degree of expert positivity, the expert authority coefficient (Cr ) was used to evaluate the degree of expert authority, the coefficient of variation and Kendall coordination coefficient were used to evaluate the degree of expert opinion coordination. According to the results of expert letter consultation, the third draft of the home follow-up list for patients with stable COPD was finally formed. (4) Pre-experiment: 10 patients with stable COPD who were discharged from Hebei Chest Hospital from February to March 2024 were selected by convenience sampling method. The subjects were followed up for

关 键 词：肺疾病 慢性阻塞性 随访护理 居家随访清单 

分 类 号：R563.9[医药卫生—呼吸系统]