摘要
目的构建科学、可行的自体动静脉内瘘(AVF)肾病患者围透析期自我管理方案。方法通过文献检索,以健康行为改变整合理论(ITHBC)为理论基础初步构建AVF肾病患者围透析期自我管理方案,应用德尔菲法对24名专家进行2轮专家咨询,对各级指标进行评定与修改。结果2轮专家咨询问卷回收率均为100%(24/24),专家权威系数(Cr)分别为0.895、0.915,专家协调系数Kendall's W分别为0.153、0.221。第2轮专家意见变异系数为0.010~0.099,均小于0.250。2轮德尔菲专家咨询确定3个一级指标、10个二级指标和22个三级指标。结论基于ITHBC理论构建AVF肾病患者围透析期自我管理方案具有较好的科学性与可操作性,能够为AVF肾病患者围透析期间自我管理提供依据和指导。
Objective To construct a scientific and feasible self-management program for peridialysis period of arteriovenous fistula(AVF)nephropathy patients.Methods Through literature search,the integrated theory of health behavior change(ITHBC)was used as the theoretical basis to initially construct a self-management program for peridialysis period of AVF nephropathy patients.Delphi method was used to conduct two rounds of expert consultation in 24 experts,and indicators at all levels were evaluated and modified.Results The recovery rates of the two rounds of expert consultation questionnaires were 100%(24/24),the expert authority coefficients(Cr)were 0.895 and 0.915,and the expert coordination coefficients Kendall's W were 0.153 and 0.221,respectively.The coefficient of variation of the second round of expert opinions ranged from 0.010 to 0.099,all of which were less than 0.250.Two rounds of Delphi expert consultation identified 3 first-level indicators,10 second-level indicators and 22 third-level indicators.Conclusion It is scientific and operable to construct self-management program for peridialysis period of AVF nephropathy patients based on ITHBC theory,which can provide basis and guidance for self-management for peridialysis period of AVF nephropathy patients.
作者
卢亮
魏丽丽
高欣
LU Liang;WEI Lili;GAO Xin(the Affiliated Hospital of Qingdao University,Qingdao 266011;Qingdao Huanghai University,Qingdao 266005,China)
出处
《临床医学研究与实践》
2024年第9期9-12,共4页
Clinical Research and Practice
关键词
自体动静脉内瘘
围透析期
健康行为改变整合理论
arteriovenous fistula
peridialysis period
integrative theory of health behavior change
