摘要
目的研制老年慢性心力衰竭(CHF)患者自我管理需求问卷,为有效评估患者自我管理需求提供测评工具。方法于2019年8-9月,以马斯洛需要层次理论和跨文化护理理论为理论基础,通过文献回顾、课题组前期质性研究基础构建问卷的维度和条目池,选取与本研究领域相关的15名专家,应用德尔菲法对问卷的内容进行2轮函询,计算专家积极系数、权威系数、专家意见的集中程度、肯德尔协调系数(Kendall's W)。结果2轮函询中专家的积极系数均为100.0%,专家权威系数为0.86;第1、2轮函询中,一级指标Kendall's W值为0.171、0.233,二级指标Kendall's W值为0.190、0.164(P<0.01),初步形成包括5个维度(生理指导需求、安全知识和技能指导需求、心理关爱需求、尊重及社会支持需求、自我实现需求)、46个条目的老年CHF患者自我管理需求评估问卷。结论应用德尔菲法编制的老年CHF患者自我管理需求问卷具有较高的可靠性,对于评估老年CHF患者自我管理需求和进行针对性自我管理干预具有现实意义,但还需进行信效度检验。
Objective To developed a self-management demand questionnaire for elderly patients with chronic heart failure(CHF)so as to provide an evaluation tool for effective assessment of self-management demand of patients.Methods From August to September 2019,based on Maslow's hierarchy of needs theory and cross-cultural nursing theory,the dimensions and item pool of the questionnaire were constructed through literature review and preliminary qualitative research of the research group.A total of 15 experts related to this research field were selected and the Delphi method was used to conduct two rounds of letter consultation on the contents of the questionnaire to calculate the expert's positive coefficient,authority coefficient,concentration degree of expert opinions and Kendall's coordination coefficient(Kendall's W).Results In 2 rounds of letter inquiries,the positive coefficient of experts was 100.0%,and the coefficient of expert authority was 0.86.In the first and second rounds of letter inquiries,Kendall's W values for the first-level indexes were 0.171 and 0.233,and Kendall's W values for the second-level indexes were 0.190 and 0.164(P<0.01).The questionnaire for elderly self-management demand of CHF patients was preliminarily formed,including 5 dimensions(physiological guidance needs,safety knowledge and skill guidance needs,psychological care needs,respect and social support needs and self-realization needs)and 46 items.Conclusions The self-management demand questionnaire for elderly CHF patients compiled by the Delphi method has high reliability.It is of practical significance to assess the self-management needs of elderly CHF patients and conduct targeted self-management interventions,but reliability and validity tests are also required.
作者
俞徐菊
彭幼清
Yu Xuju;Peng Youqing(Tongji University School of Medicine,Shanghai 200092,China;Nursing Department,Dongfang Hospital Affiliated to Tongji University,Shanghai 200120,China)
出处
《中华现代护理杂志》
2020年第29期4012-4016,共5页
Chinese Journal of Modern Nursing
基金
国家自然科学基金面上项目(71473178)
2018年江西省卫生计委科技计划(20182731)。
