咳喘药学服务门诊哮喘患者有效性评价指标体系构建  

Establishment of evaluation index system for the effectiveness of cough and wheeze pharmaceutical care clinic among asthma patients

作　　者：陈娟娟[1] 王松[1] 王彦芳[1] 姚明解 杜书章[1] 陈保站 CHEN Juanjuan;WANG Song;WANG Yanfang;YAO Mingjie;DU Shuzhang;CHEN Baozhan(Dept.of Pharmacy,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Hunan Key Laboratory of Research and Development of Novel Pharmaceutical Preparations,Changsha Medical University,Changsha 410000,China;Dept.of Telemedicine Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院药学部,郑州450052 [2]长沙医学院新型药物制剂研发湖南省重点实验室,长沙410000 [3]郑州大学第一附属医院远程医学中心,郑州450052

出　　处：《中国药房》2024年第21期2684-2689,共6页China Pharmacy

基　　金：国家自然科学基金项目(No.82272433);郑州大学第一附属医院院内青年创新基金项目。

摘　　要：目的构建咳喘药学服务门诊(CWPC)哮喘患者有效性评价指标体系,为提高患者哮喘控制水平和规范化药学服务水平提供测评工具和理论依据。方法采用文献分析、半结构访谈等多种研究方法,建立CWPC哮喘患者有效性评价指标体系;采用德尔菲法进行两轮专家函询,以层次分析法确定指标权重;采用问卷调查法对所建指标体系进行信效度分析。结果本研究在河南省三级甲等医院选择了29名医、药、护3个学科的专家,进行了2轮专家函询后,最终从结构水平、功能水平、素养管理水平3个核心维度确定了CWPC哮喘患者有效性评价指标体系(包括9个子维度,如肺功能、症状等;35个测量条目,如哮鸣音、呼吸频率等),并确定了各维度指标的权重;信效度分析的结果证实了指标体系的科学合理性。结论构建的CWPC哮喘患者有效性评价指标体系具有较高的认可度和信效度,可作为哮喘患者有效性评价的测量工具。OBJECTIVE To construct an evaluation index system for the effectiveness of cough and wheeze pharmaceutical care clinic(CWPC)among asthma patients,and to provide assessment tools and a theoretical basis for improving the control level of asthma patients and standardizing pharmaceutical care.METHODS Literature analysis and semi-structured interviews were used to establish the evaluation index system for the effectiveness of CWPC among asthma patients.Delphi method was used to conduct two rounds of expert correspondence consultation,and the index weights were determined by the analytic hierarchy process.The reliability and validity of the constructed index system were analyzed by questionnaire.RESULTS Totally 29 experts from three disciplines of medicine,pharmacy and nursing were selected from the third-grade class A hospitals in Henan province.After two rounds of expert correspondence consultation,the effectiveness evaluation index system of CWPC asthma patients(including 9 subdimensions,such as lung function,symptoms;35 measurement items,such as wheezing and respiratory rate)was finally determined from three core dimensions of structure level,function level and literacy management level,and the weight value of each dimension index was determined.The results of the reliability and validity analysis confirmed the scientific rationality of the index system.CONCLUSIONS The constructed CWPC effectiveness evaluation index system for asthma patients has a high degree of recognition,reliability and validity,and can be used as a measurement tool for the effectiveness evaluation of asthma patients.

关 键 词：咳喘药学服务门诊 哮喘患者 有效性 指标体系 信效度 

分 类 号：R95[医药卫生—药学]