多囊卵巢综合征患者自我管理问题提示清单的构建  

Development of a question prompt list for self-management in patients with polycystic ovary syndrome

作　　者：孙桥 韩文萍 郭庆峰 李红梅 李敏 曹艳行 Sun Qiao;Han Wenping;Guo Qingfeng;Li Hongmei;Li Min;Cao Yanxing(Nursing Faculty,Fenyang College of Shanxi Medical University,Lüliang 032200,China)

机构地区：[1]山西医科大学汾阳学院护理学系,山西吕梁032200 [2]山西省汾阳医院

出　　处：《护理学杂志》2025年第8期83-88,共6页Journal of Nursing Science

摘　　要：目的构建多囊卵巢综合征患者自我管理问题提示清单,为帮助其主动获取自我管理相关信息提供辅助工具。方法通过文献回顾、半结构式访谈、德尔菲专家函询,确定问题提示清单。采用便利抽样法,选取45例多囊卵巢综合征患者,评估问题提示清单的临床可行性。结果共18名专家完成2轮专家函询,专家的积极系数分别为90.00%、100.00%,权威系数分别为0.950、0.947。第2轮专家函询中,条目重要性的肯德尔和谐系数为0.202(P<0.05)。最终形成包含7个一级指标、46个二级指标的多囊卵巢综合征患者自我管理问题提示清单。结论该问题提示清单内容全面、实用,有助于患者提出更具针对性的疾病自我管理相关问题,提高医患沟通效率,满足其个性化需求,提高自我管理能力。Objective To develop a question prompt list(QPL)for self-management in patients with polycystic ovary syndrome(PCOS),and to an provide effective aid for this population to actively obtain self-management related information.Methods A QPL for self-management was developed based on literature review,semi-structured interviews,and Delphi expert consultation.A convenience sample of 45 patients with PCOS were invited to evaluate the clinical feasibility of the QPL.Results A total of 18 experts completed two rounds of expert consultation.The response rate was 90%(18/20 experts)in round one and 100%(18/18 experts)in round two.The coefficients of expert authority were 0.950 and 0.947,respectively.In round two,the Kendall′s coefficient of concordance(W)for item importance was 0.202(P<0.05).The QPL included 7 primary indicators and 46 secondary indicators.Conclusion This QPL is comprehensive and practical,which facilitates patients to ask more targeted questions about self-management,resulting in improving the efficiency of doctor-patient communication,meeting their individual needs,and enhancing their self-management ability.

关 键 词：多囊卵巢综合征 问题提示清单 自我管理 健康行为改变整合理论 生育需求 生活方式 生殖健康 不孕不育 

分 类 号：R473.71[医药卫生—护理学] R711.75[医药卫生—临床医学]