德尔菲法构建宫颈癌防治素养评价指标体系  

Evaluation index system of cervical cancer prevention and control literacy based on Delphi method

作　　者：周璇 吴苗苗 何以晴 苏芳 丁金霞[2] 谢伦芳[1] ZHOU Xuan;WU Miaomiao;HE Yiqing;SU Fang;DING Jinxia;XIE Lunfang(School of Nursing,Anhui Medical University,Hefei,Anhui 230032,China;The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230022,China)

机构地区：[1]安徽医科大学护理学院,安徽合肥230032 [2]安徽医科大学第一附属医院,安徽合肥230022

出　　处：《预防医学》2025年第4期413-416,420,共5页China Preventive Medicine Journal

基　　金：安徽医科大学护理学院研究生青苗培育项目(hlqm12024092,hlqm12024091)。

摘　　要：目的构建宫颈癌防治素养评价指标体系,为评估宫颈癌防治素养水平提供工具。方法基于文献研究设计宫颈癌防治素养评价指标体系框架,邀请有宫颈癌防治理论与实践经验的21名专家进行2轮德尔菲专家咨询。采用百分权重法和乘积法确定指标权重,并评价专家积极性、权威程度、意见集中程度和协调程度。结果21名专家参与咨询,其中男性3人,女性18人;博士研究生11人,硕士研究生7人,本科3人;均为高级专业技术职称;工作年限均≥10年。2轮咨询问卷回收率分别为100.00%和95.24%,专家权威系数分别为0.963和0.948,肯德尔协调系数分别为0.175和0.148(均P<0.05)。最终构建的宫颈癌防治素养评价指标体系包括基本知识和理念、健康生活方式与行为、基本技能3个一级指标,权重分别为0.334、0.338和0.328;12个二级指标,其中“能够正确获取、理解、评估和应用健康信息”的权重最高,为0.166;51个三级指标,其中“接种HPV疫苗”“咨询相关问题”“表达个人观点”的权重较高,分别为0.086、0.082和0.080。结论构建的宫颈癌防治素养评价指标体系可作为评估适龄健康女性宫颈癌防治素养水平的工具,为宫颈癌防治素养宣传和干预提供参考。Objective To construct an evaluation index system of cervical cancer prevention and control literacy,so as to provide an assessment tool for cervical cancer prevention and control literacy.Methods The preliminary framework for cervical cancer prevention and control literacy was designed based on literature review.Twenty-one experts with both theoretical and practical experience in cervical cancer prevention and control were invited to participate in two rounds of Delphi consultation.The weights of indicators were determined by the percentage weighting method and product method,and the response rate,authority level,opinion concentration degree,and coordination degree of experts were evaluated.Results Twenty-one experts participated in the consultation,including 3 males and 18 females.There were 11 experts with a doctor's degree,7 with a master's degree and 3 with a bachelor's degree.All of them had senior professional titles and had more than 10 years of working experience.The recovery rates of the two rounds of consultations were 100.00%and 95.24%,the authority coefficients were 0.963 and 0.948,and Kendall's coefficients of concordance were 0.175 and 0.148(both P<0.05),respectively.The final cervical cancer prevention and control literacy evaluation index system included 3 primary indicators(basic knowledge and concepts:0.334;healthy lifestyle and behaviors:0.338;basic skills:0.328),12 secondary indicators,with"capability to accurately acquire,comprehend,evaluate and apply health information"having the highest weight(0.166),and 51 tertiary indicators,with"HPV vaccination"(0.086),"consulting on relevant issues"(0.082),and"expressing personal perspectives"(0.080)having relatively higher weights.Conclusion The evaluation index system of cervical cancer prevention and control literacy serves as a valid assessment tool for women of appropriate age,providing the reference for developing targeted health education to enhance cervical cancer prevention and control literacy.

关 键 词：宫颈癌 健康素养 指标体系 德尔菲法 

分 类 号：R711.74[医药卫生—妇产科学]