基于干预图的围透析期腹膜透析患者容量管理方案的构建  

Construction of a volume management program for peritoneal dialysis patients in the peridialysis period based on intervention map

作　　者：吴苏杭 娄小平[2] 陈婕 杜文婷[3] 王文娇 张彤彤 刘芳芳[1] Wu Suhang;Lou Xiaoping;Chen Jie;Du Wenting;Wang Wenjiao;Zhang Tongtong;Liu Fangfang(Department of Nephrology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Nursing Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Cardiovascular,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Emergency Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院肾内科,郑州450000 [2]郑州大学第一附属医院护理部,郑州450000 [3]郑州大学第一附属医院心内科,郑州450000 [4]郑州大学第一附属医院急诊科,郑州450000

出　　处：《中华现代护理杂志》2025年第5期610-616,共7页Chinese Journal of Modern Nursing

基　　金：中华护理学会2021年度立项科研课题(ZHKY202112)。

摘　　要：目的构建针对围透析期腹膜透析患者容量管理方案。方法以干预图为指导框架,结合健康信念模式,在半结构式访谈及文献回顾的基础上构建围透析期腹膜透析患者容量管理方案初稿。于2023年12月—2024年2月,经过2轮专家函询修订容量管理方案初稿,形成最终方案。结果共邀请15名腹膜透析医学及护理专家完成2轮德尔菲专家函询。2轮专家函询均发放问卷15份,回收有效问卷15份,问卷有效回收率均为100.00%;专家权威系数均为0.903。最终构建的围透析期腹膜透析患者容量管理方案包括知识培训、制订容量管理计划、行为评价和信念支持4项一级条目、10项二级条目和30项三级条目。结论本研究构建的围透析期腹膜透析患者容量管理方案具有科学性,可以为医护人员提供参考。ObjectiveTo construct a volume management program for peritoneal dialysis patients in the peridialysis period.MethodsThe intervention map was used as a guiding framework to build a first draft of a volume management program for peritoneal dialysis patients during the peridialysis period based on semi-structured interviews and a literature review in conjunction with a health belief model.Between December 2023 and February 2024,the first draft of the volume management program was revised by two rounds of expert consultation to produce a final program.ResultsA total of 15 peritoneal dialysis medical and nursing experts were invited to complete two rounds of Delphi expert consultation.In the two rounds of expert consultation,15 questionnaires were issued,and 15 valid questionnaires were recovered;the effective recovery rate was 100.00%,and the expert authority coefficient was both 0.903.The final constructed volume management program for peritoneal dialysis patients during the peridialysis period consisted of four first-level items(knowledge training,volume management plan development,behavioral assessment,and belief support),10 second-level items,and 30 third-level items.ConclusionsThe volume management program for peritoneal dialysis patients in the peridialysis period constructed in this study is scientific and can provide a reference for healthcare professionals.

关 键 词：腹膜透析 容量管理 围透析期 干预图 健康信念模式 方案构建 

分 类 号：R473.5[医药卫生—护理学]