基于计划行为理论和助推策略构建心房颤动病人抗凝自我管理方案  

Construction of intervention program for anticoagulant self-management in patients with atrial fibrillation based on the theory of planned behavior and nudge strategy

作　　者：丁遥遥 卢晓虹[1] DING Yaoyao;LU Xiaohong(The Affiliated Hospital of Qingdao University,Shandong 266000 China)

机构地区：[1]青岛大学附属医院,山东266000

出　　处：《护理研究》2025年第7期1108-1113,共6页Chinese Nursing Research

基　　金：中华医学会杂志社2022—2023年护理学科研究课题,编号:CMAPH-NRP2022013。

摘　　要：目的:基于计划行为理论和助推策略构建心房颤动病人抗凝自我管理的干预方案。方法:以计划行为理论和助推策略为指导,通过文献回顾初步拟定心房颤动病人抗凝自我管理的干预方案,通过德尔菲专家函询法确定干预的具体内容。结果:2轮专家函询问卷有效回收率均为100%,专家权威系数分别为0.802,0.838,肯德尔协调系数分别为0.581,0.666(P均<0.001)。最终形成包括5个一级指标、9个二级指标和16个三级指标的干预方案。结论:基于计划行为理论和助推策略构建的心房颤动病人抗凝自我管理干预方案结果可靠,具有一定的可行性。Objective:To construct an intervention program for anticoagulant self-management in patients with atrial fibrillation based onthe theory of planned behavior and nudge strategy.Methods:Under the guidance of the theory of planned behavior and nudge strategy,through literature review,a preliminary intervention plan for the patients with atrial fibrillation was formulated,the specific content of theintervention were determined through Delphi method.Results:The effective recovery rates of the both rounds of expert consultationquestionnaires were 100%,and the expert authority coefficient was 0.802 and 0.838,respectively,and the Kendall W coefficient of thetwo rounds was 0.581 and 0.666,respectively(P all<0.001).Finally,an intervention program was formed,including 5 first-levelindicators,9 second-level indicators and 16 third-level indicators.Conclusion:The anticoagulant self-management intervention programfor patients with atrial fibrillation based on the the theory of planned behavior and nudge strategy has reliable results and has certainfeasibility.

关 键 词：计划行为理论 助推策略 心房颤动 抗凝 干预方案 德尔菲法 

分 类 号：R54[医药卫生—心血管疾病]