糖尿病足患者出院后自我管理清单的构建  

Construction of self-management checklist for discharged diabetic foot patients

作　　者：谢树英 周艳辉[2,4] 罗艳华 旺姆拉珍 张秋平 罗小[4] XIE Shuying;ZHOU Yanhui;LUO Yanhua;Wangmulazhen;ZHANG Qiuping;LUO Xiao(School of Nursing,University of South China,Hunan Province,Hengyang 421001,China;Department of Nursing,the First Affilicated Hospital of University of South China,Hunan Province,Hengyang 421001,China;Department of Endocrinology,the First Affilicated Hospital of University of South China,Hunan Province,Hengyang 421001,China;Department of Endocrinology,Ganzhou People's Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]南华大学护理学院,湖南衡阳421001 [2]南华大学附属第一医院护理部,湖南衡阳421001 [3]南华大学附属第一医院内分泌科,湖南衡阳421001 [4]江西省赣州市人民医院内分泌科,江西赣州341000

出　　处：《中国当代医药》2025年第9期11-17,共7页China Modern Medicine

基　　金：湖南省科技创新计划项目(2020SK51813);江西省卫生健康委科技计划项目(202410876)。

摘　　要：目的以信息-动机-行为技巧模型为指导,构建科学的、可行的糖尿病足患者出院后自我管理清单,为糖尿病足患者出院后的管理提供参考。方法通过文献检索、理论剖析、病例回顾、课题组讨论分析,构建糖尿病足患者出院后自我管理清单初稿,2024年4月至6月,采用德尔菲法对来自江西、广东、湖南、湖北、浙江、辽宁6个省份的16位内分泌科医疗和护理专家进行了两轮函询,根据专家意见并结合临床案例及实践经验,对条目进行修订完善,最终建立糖尿病足患者出院后自我管理清单终稿。结果两轮函询专家权威系数均为0.92,积极系数均为100%,两轮函询条目重要性和可行性的肯德尔和谐系数分别为0.218.0.123和0.141、0.119(P<0.001)。最终形成包括3个一级条目、17个二级条目、74个三级条目的糖尿病足患者出院后自我管理清单。结论该研究构建的糖尿病足患者出院后自我管理清单具有科学性、可靠性、实用性和可行性,可以为糖尿病足患者出院后的居家管理提供参考。Objective Based on the information-motivation-behavioral skills model,a scientific and feasible self-manage-ment list for diabetic foot patients after discharge was constructed to provide reference for home management of diabetic foot patients after discharge.Methods Through literature search,theoretical analysis,case review,discussion and analysis of the research group,the draft of the self-management list of diabetic foot patients after discharge was constructed.From April to June 2024,two rounds of correspondence were conducted among 16 endocrinology medical and nursing experts from six provinces,Jiangxi,Guangdong,Hunan,Hubei,Zhejiang and Liaoning,revised and improved the items according to expert opinions and combined with clinical cases and practical experience by Delphi method,and finally established the final self-management list of diabetic foot patients after discharge.Results The expert authority coefficient of the two rounds of correspondence was 0.92,and the positive coefficient was 100%.The importance and feasibility of Kendall'W coordination coefficients were 0.218,0.123 and 0.141,0.119 in 2 rounds,respectively(P<0.001).Finally,the self-management list of diabetic foot patients after discharge was formed,which included 3 first-level items,17 second-level items and 74 third-level items.Conclusion The self-management list of diabetic foot patients after discharge constructed in this study is scientific,reliable,practical and feasible,and can provide reference for home management of diabetic foot patients after discharge.

关 键 词：糖尿病足 信息-动机-行为技巧模型 德尔菲技术 自我管理清单 足部自我护理 

分 类 号：R473[医药卫生—护理学]