基于症状管理理论神经源性膀胱患者自我管理干预方案的构建  

Construction of symptom management theory-based self-management intervention scheme for neurogenic bladder patients

作　　者：李小梅 陶明 李茜茜[1] 李琳琳[1] 李春 LI Xiao-mei;TAO Ming;LI Qian-Qian;LI Lin-lin;LI Chun(Suining Central Hospital,Suining 629000,China;School of Nursing,Zunyi Medical University,Zunyi 563000,China;Affiliated Hospital of Zunyi Medical University,Zunyi 563000,China)

机构地区：[1]遂宁市中心医院,四川遂宁629000 [2]遵义医科大学护理学院,贵州遵义563000 [3]遵义医科大学附属医院,贵州遵义563000

出　　处：《护理学报》2024年第22期61-66,共6页Journal of Nursing（China）

基　　金：2022年遂宁市中心医院院级课题项目(2022ypj18)。

摘　　要：目的基于症状管理理论,构建神经源性膀胱患者自我管理干预方案,为开展神经源性膀胱患者自我管理提供参考。方法通过文献研究法,初步制定基于症状管理理论的神经源性膀胱患者自我管理干预方案,并邀请15名专家开展2轮德尔菲法专家咨询,进一步修订形成干预方案终稿。结果2轮函询专家积极性均为100%,专家权威系数(Cr)为0.852。最终方案包括3个一级指标、16个二级指标、37个三级指标,各条目重要性赋值为4.20~4.93分,变异系数为0.052~0.207,专家肯德尔和谐系数(W)为0.118(P<0.001)。结论基于症状管理理论的神经源性膀胱患者自我管理干预方案具有较好的可靠性和科学性,为患者在临床实践中的自我管理提供一定参考。Objective To construction a symptom management theory-based self-management intervention scheme for patients with neurogenic bladder(NGB),and to provide reference for the self-management of patients with NGB.Methods Through literature review,a self-management intervention scheme for patients with NGB based on symptom management theory was developed,and 15 experts were invited to carry out 2 rounds of Delphi expert consultation for further revision of the scheme.Results The expert enthusiasm of the two rounds of correspondence was 100%,and the expert authority coefficient(Cr)0.852.The final scheme consisted of 3 first-level,16 second-level,and 37 third-level indicators.The importance score of each item was 4.20~4.93;the coefficient of variation 0.052~0.207,and the expert Kendall harmony coefficient(W)0.118(P<0.001).Conclusion The self-management intervention scheme for patients with NGB based on symptom management theory is reliable and scientific,and can provide reference for patients’self-management in clinical practice.

关 键 词：神经源性膀胱 自我管理 间歇导尿 德尔菲法 

分 类 号：R473.74[医药卫生—护理学]