学龄前期儿童阻塞性睡眠呼吸暂停围手术期健康教育绘本的编制  

Development of a perioperative health education picture book for preschool children with Obstructive Sleep Apnea based on psychological stress system model

作　　者：谭益香 张清[1] TAN Yixiang;ZHANG Qing(School of Nursing,Tianjin Medical University,Tianjin,300070,China)

机构地区：[1]天津医科大学护理学院,天津市300070

出　　处：《中国护理管理》2024年第9期1324-1329,共6页Chinese Nursing Management

摘　　要：目的:编制学龄前期儿童阻塞性睡眠呼吸暂停(Obstructive Sleep Apnea,OSA)围手术期健康教育绘本,为学龄前期OSA儿童提供医疗信息支持。方法:在心理应激系统模型的指导下,以文献循证及临床路径为依据,结合学龄前期OSA围手术期患儿对手术认知及应对策略的半结构式访谈结果,编制绘本初稿,采用德尔菲专家函询对其进行论证和修改。结果:2轮专家函询的问卷有效回收率为94.4%、100.0%,权威系数为0.87,判断系数为0.83,熟悉程度为0.91,最终完成了绘本编制,绘本包含6个章节,共22个主题,主题重要性及适用性协调系数分别为0.609、0.333,专家意见协调性有统计学意义(P<0.05)。结论:学龄前期儿童OSA围手术期健康教育绘本编制方法科学、过程严谨、内容可靠,弥补了绘本在学龄前期儿童疾病管理中的不足,可以在不同区域诊疗中心推广使用。Objective:To develop a perioperative health education picture book for preschool children with Obstructive Sleep Apnea based on psychological stress system model.Methods:Based on the psychological stress system model,literature evidence,clinical pathway,and the results of semi-structured interviews regarding the surgical cognition and coping strategies of preschool children with OSA,the first draft of the picture book was developed.Delphi expert consultation was used to revise and finalize it.Results:The effective recovery rates of the two-rounds expert consultation were 94.4%and100.0%respectively.The authority coefficient was 0.87,the judgment coefficient was 0.83,and the familiarity was 0.91.The finalized picture book contained 6 chapters and 22 topics.The coordination coefficients of topic importance and applicability were 0.609 and 0.333 respectively.Conclusion:The development process of OSA perioperative health education picture book is scientific and rigorous,and the contents are reliable.The book addresses the gap of lacking picture book in OSA management among preschool children and can be widely used in different regions.

关 键 词：学龄前期儿童 阻塞性睡眠呼吸暂停 围手术期 健康教育 绘本 编制 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]