颅咽管瘤相关下丘脑性肥胖患儿饮食运动管理方案的构建  

Construction of a diet and exercise program for children with craniopharyngioma-related hypothalamic obesity

作　　者：王为杰 史蕾[1] 邓瑛瑛[2] 陈美佳 梁清钊 欧阳配 黄佳颖 张静 Wang Weijie;Shi Lei;Deng Yingying;Chen Meijia;Liang Qingzhao;Ouyang Pei;Huang Jiaying;Zhang Jing(School of Nursing,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学护理学院,广东广州510515 [2]南方医科大学南方医院神经外科 [3]南方医科大学南方医院呼吸内科

出　　处：《护理学杂志》2024年第17期45-49,共5页Journal of Nursing Science

基　　金：深圳市“医疗卫生三名工程”项目(SZZYSM202108013);南方医科大学南方医院院长基金项目(2021H001)。

摘　　要：目的构建颅咽管瘤相关下丘脑性肥胖患儿饮食运动管理方案,为临床实践提供参考。方法以健康行为改变整合理论为指导,通过文献循证、半结构式访谈,形成颅咽管瘤相关下丘脑性肥胖患儿饮食运动管理方案初稿;运用德尔菲法,遴选19名专家对方案进行2轮函询,完善并确定最终方案。结果2轮专家函询问卷回收率分别为90.48%、100%,专家权威系数分别为0.89、0.90;第2轮函询中,各指标重要性变异系数0.06~0.19,肯德尔和谐系数0.101(P<0.05),各指标可行性变异系数0.10~0.23,肯德尔和谐系数0.122(P<0.05);最终形成包含4个一级指标、18个二级指标、44个三级指标的颅咽管瘤相关下丘脑性肥胖患儿饮食运动管理方案。结论颅咽管瘤相关下丘脑性肥胖患儿饮食运动管理方案具有较好的专家认可度和可行性,可进一步开展临床验证研究。Objective To construct a diet and exercise program for children with craniopharyngioma-related hypothalamic obesity(CP-HO),and to provide reference for clinical practice.Methods Following the integrated theory of health behavior change,the draft of diet and exercise program for children with CP-HO was developed through evidence-based literature review and semi-structured interviews.Using Delphi methods,19 experts were selected to conduct two rounds of consultation to reach a consensus.Results The return rates of questionnaires were 90.48%and 100%,and the expert authority coefficients were 0.89 and 0.90 in the first and second rounds of consultation,respectively.In the second round of consultation,the coefficient of variation(CV)of each index for its importance was 0.06-0.19,and the Kendall′s coefficient of concordance(W)was 0.101(P<0.05);the CV of each index for its feasibility was 0.10-0.23,and the Kendall′s W was 0.122(P<0.05).The final diet and exercise program for children with CP-HO included 4 first-level indexes,18 second-level indexes,and 44 third-level indexes.Conclusion The constructed diet and exercise program for children with CP-HO is well-accepted by experts and is feasible.Further empirical research is needed to verify the effectiveness.

关 键 词：儿童 颅咽管瘤 下丘脑性肥胖 健康行为改变整合理论 营养 运动 证据总结 德尔菲法 

分 类 号：R473.72[医药卫生—护理学] R739.41[医药卫生—临床医学]