支气管肺发育不良患儿居家照护指导方案的构建  

Construction of a home care program for children with bronchopulmonary dysplasia

作　　者：罗德艳[1] 莫霖[2] 刘玉琳[1] 郭蓉[1] 王紫娟[1] LUO Deyan;MO Lin;LIU Yulin;GUO Rong;WANG Zijuan(Department of Respiratory,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatrics,Children's Hospital of Chongqing Medical University,Chongqing,400014,China)

机构地区：[1]重庆医科大学附属儿童医院呼吸科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆市400014 [2]重庆医科大学附属儿童医院门诊部,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆市400014

出　　处：《中国护理管理》2025年第2期213-218,共6页Chinese Nursing Management

摘　　要：目的:构建支气管肺发育不良患儿居家照护指导方案,为支气管肺发育不良患儿居家照护指导提供参考。方法:以奥马哈系统理论为指导框架,通过文献分析和半结构式访谈形成支气管肺发育不良患儿居家照护指导方案初稿,于2022年9月—11月通过2轮德尔菲专家函询确定最终方案。结果:共17名专家完成2轮专家函询,专家的权威系数均>0.8。最终构建的支气管肺发育不良患儿居家照护指导方案包括评估、干预和评价3个部分,评估部分包括4个一级指标、13个二级指标、40个三级指标,干预部分包括2个一级指标和9个二级指标,评价部分包括1个一级指标和2个二级指标。结论:构建的支气管肺发育不良患儿居家照护指导方案较为科学、全面且易于操作,为护理人员及家庭照护者提供了理论依据和实践指导。Objective:To construct a home care program for children with bronchopulmonary dysplasia and provide guidance on home care for families of children with bronchopulmonary dysplasia.Methods:Using the Omaha system theory as a guiding framework,the first draft of the home care program for children with bronchopulmonary dysplasia was developed through literature analysis and semi-structured interviews,and the final program was finalized during September to November 2022 through 2 rounds of Delphi expert correspondence.Results:A total of 17 experts completed 2 rounds of Delphi expert consultations,all with an authority coefficient of>0.8.The final constructed home care program for children with bronchopulmonary dysplasia included three parts:assessment,intervention and evaluation.The assessment component has 4 primary indicators,13 secondary indicators and 40 tertiary indicators;the intervention component has 2 primary indicators and 9 secondary indicators;and the evaluation component has 1 primary indicator and 2 secondary indicators.Conclusion:The home care program for children with bronchopulmonary dysplasia is constructed to be more scientific,comprehensive and easy to operate,providing a theoretical basis and practical guidance for nursing caregivers and family caregivers.

关 键 词：儿童 支气管肺发育不良 居家护理 德尔菲技术 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]