基于时机理论肠造口患儿父母阶段干预方案的构建

Construction of Timing It Right Theory-based Phase Intervention Program for Parents of Infants with Enterostomy

目的 构建基于时机理论肠造口患儿父母的阶段干预方案。方法 以时机理论为指导,通过文献回顾拟定干预方案初稿,选取10名专家经过2轮专家函询,对干预时期和具体措施进行修改,构建肠造口患儿父母的阶段干预方案。结果 2轮专家函询问卷回收率和专家积极性均为100%,专家权威系数Cr均>0.90,Kendall’s W系数分别为0.223和0.293,具有统计学意义(P<0.05)。经过2轮专家函询,最终确定围术期、出院准备期、调整期和适应期共4个干预阶段,包括在院发送宣教手册和视频,指导家属肠造口模型练习,出院后线下造口护理专科门诊结合互联网线上诊疗提供延续性护理服务等13项干预措施。结论 通过德尔菲法构建基于时机理论肠造口患儿父母阶段干预方案,具有科学性和可靠性,可为制定肠造口患儿及其父母不同阶段的照顾支持和开展延续性护理提供借鉴和指导。

Objective To construct a phase intervention program for parents of infants with enterostomy based on Timing it Right(TIR) theory. Methods Based on the framework of TIR theory, the draft of the intervention program was developed after literature review, and 10 experts were selected to modify the intervention period and specific measures after 2 rounds of expert letter consultation. Finally, the construction of the phase intervention program for parents of infants with enterostomy was completed.Results The recovery rate and enthusiasm of experts were 100%;the expert authority coefficients were all greater than 0.90, and Kendall’s W coefficients were 0.223 and 0.293, respectively, with statistical significance(P<0.05). After two rounds of expert consultation, four intervention phases which included perioperative period, discharge preparation period, adjustment period and adaptation period, were finally determined, and 13 intervention measures, including sending education handbook and video in the hospital, guiding how to make use of enterostomy model to practice, and the combination of ostomy nursing specialist outpatient service and online extended care service after discharge, etc. Conclusion The TIR theory-based phase intervention program for parents of infants with enterostomy is scientific and reliable, which provides reference and guidance for the formulation of nursing support and the development of extending nursing for infants with enterostomy as well as their parents in different phases.