摘要
目的 构建居家糖尿病患者的胰岛素注射相关锐器废物的安全处置管理方案,为规范管理胰岛素注射相关锐器废物提供参考。方法 以信息-动机-行为技巧模型(information-motivation-behavioural skills model,IMB)作为理论框架,检索国内外相关文献,并通过半结构式访谈整合患者的认知及需求,拟定胰岛素注射废弃相关锐器废物的安全处置管理方案初稿。采用德尔菲法开展了2轮专家函询,制订了胰岛素注射相关锐器废物的安全处置管理方案。结果 2轮专家函询问卷的有效回收率分别为88.89%和93.75%,专家权威系数均为0.93。第2轮函询中,各级条目的重要性赋值均数为4.40~5.00分,变异系数范围为0~0.168。最终建立了包含3个一级条目、6个二级条目和20个三级条目的管理方案。结论 从信息-动机-行为技巧方面构建的胰岛素注射相关锐器废物的安全处置管理方案具有良好的科学性和实用性,能够为医护人员的临床实践提供参考。
Objective To establish a safe disposal management program for home used sharps waste of insulin injection so as to provide a reference for the standardised management of sharps waste after insulin.injection.Methods Based on the model of information-motivation-behavioural skills,the safe disposal management program for insulin needles used at home was developed by literature reviews and semi-structured interviews to investigate the perceptions and requirements of patients.The program was then modified and refined by two rounds of expert consultation with Delphi method.Results The effective retrieval rates of questionnaire for two rounds of expert consultations were 88.89%and 93.75%,with an expert authority coefficient at 0.93.In the second round,the mean importance scores of the items were 4.40 to 5.00,with a coefficient of variation ranged from 0 to 0.168.The established program consisted of three primary items,six secondary items,and 20 tertiary items.Conclusion The safe disposal management program for home used sharps waste of insulin injection established from the perspectives of information,motivation and behavioural skills was scientific and practical,which offered a guidance to healthcare professionals in the clinical practices.
作者
张雯杰
诸海英
葛娟
韩玉琴
郑丽妹
黎瑞红
Zhang Wenjie;Zhu Haiying;Ge Juan;Han Yuqin;Zheng Limei;Li Ruihong(School of Nursing,Southern Medical University,Guangzhou,510515,China;Shanghai Fengxian District Central Hospital,Shanghai,201499,China;Shanghai University of Traditional Chinese Medicine,Shanghai,201210,China;Shanghai Xuhui Central Hospital,Shanghai,200031,China)
出处
《现代临床护理》
2024年第1期70-77,共8页
Modern Clinical Nursing
基金
上海市奉贤区社会类科技发展基金医学类立项重点项目,项目编号为20211501
上海市奉贤区社会类科技发展基金医学类立项一般项目,项目编号为20211807
江苏大学医教协同创新基金一般项目,项目编号为JDYY2023089。
关键词
糖尿病
胰岛素注射
锐器
信息-动机-行为技巧模型
德尔菲法
diabetes mellitus
insulin injection
sharps waste
information-motivation-behavioural skills model
Delphi method
