泌尿造口患者出院准备度评估量表的研制  

Development of a Scale to Assess Discharge Readiness in Patients with Urostomy

作　　者：李静坡 许丽霞[2] 李守宾[1] 张盼英[1] 李娜娜 孙素娟[3] LI Jing-po;XU Li-xia;LI Shou-bin;ZHANG Pan-ying;LI Na-na;SUN Su-juan(Urology Surgery,Hebei Provincial People s Hospital,Shijiazhuang 050000,China;The First Department of Oncology,Hebei Provincial People s Hospital,Shijiazhuang 050000,China;Hospital Nursing Department,Hebei Provincial People s Hospital,Shijiazhuang 050000,China)

机构地区：[1]河北省人民医院泌尿外科,石家庄050000 [2]河北省人民医院肿瘤一科,石家庄050000 [3]河北省人民医院护理部,石家庄050000

出　　处：《科学技术与工程》2024年第33期14157-14163,共7页Science Technology and Engineering

基　　金：河北省卫生健康委员会指令性课题(20240211)。

摘　　要：为了评估泌尿造口患者出院准备程度,通过查阅相关指南、参考文献,进行半结构式访谈,并创建了初始调查问卷。接着,采用德尔菲法对泌尿造口术后患者出院准备度评估条目内容进行专家函询。结果表明,在两轮咨询中,专家的积极系数分别为90.9%和100.0%,权威系数分别为0.84和0.87,协调系数分别为0.341和0.362(均P<0.000)。最终,形成了包括生理状态、心理状态、健康指导质量和社会支持在内的4个维度、共30个条目的泌尿造口患者出院准备度评估量表。该量表为医护人员提供了科学、有效的评估工具,以提高患者术后自我管理水平,减少患者并发症发生率及再入院率。可见,这一评估量表在临床实践中具有较好的实用性,可作为评估泌尿造口患者出院准备程度的有力工具。In order to assess the readiness of patients with urostomy to be discharged from the hospital,an initial questionnaire was created by reviewing relevant guidelines,references,conducting semi-structured interviews,and creating an initial questionnaire.Then,the Delphi method was used for expert correspondence on the content of the entries for assessing the readiness of patients for discharge after urostomy.The results show that in the two rounds of consultation,the positive coefficients of the experts are 90.9%and 100.0%,the authority coefficients are 0.84 and 0.87,and the co-ordination coefficients are 0.341 and 0.362,respectively(all P<0.000).Eventually,a scale was developed to assess the readiness of urostomy patients to be discharged from the hospital with four dimensions and a total of 30 entries,including physiological status,psychological status,quality of health guidance,and social support.The scale provides a scientific and effective assessment tool for healthcare professionals to improve patient self-management in the postoperative period and to reduce the incidence of complications and readmission rates.It can be seen that this assessment scale has good practicality in clinical practice and can be used as a powerful tool to assess the readiness of urostomy patients for discharge.

关 键 词：泌尿造口 出院准备度 量表 德尔菲法 评估工具 

分 类 号：R694.2[医药卫生—泌尿科学]