应用德尔菲法构建携T管出院胆石症患者延续性护理方案的分析

Analysis of continuing nursing plan constructed by Delphi method for discharged cholelithiasis patients carrying with T-tube

目的：建立携 T 管出院胆石症患者的延续性护理方案。方法在查阅文献、质性访谈的基础上初步构建干预框架，形成专家咨询问卷。通过德尔菲法对12名专家进行2轮咨询。结果2轮专家咨询问卷的有效回收率均为100%，2轮咨询的权威程度系数分别为0.87和0.89，2轮专家咨询的协调系数分别为0.42和0.43。经过专家咨询后确定的核心内容包括一级条目10条，二级条目35条，三级条目98条；最终确定的方案包括护理干预计划、随访过程中实施者应掌握的护理要点、健康教育手册使用3个方面。结论构建科学、有效的延续性护理干预方案使得医护人员在循证的基础上，按照规范的方案执行，保证护理服务的同质性。从而保证了患者出院后的生命安全。

Objective To establish the continuing nursing in discharged patients carrying with T-tube. Methods Based on literature review,qualitative interview,we preliminarily constructed the framework and form expert consultant-s scale,then two rounds of 12 experts consulted by Delphi method. Results After two rounds of expert-s consultation by the scale,the effective collect rate was 100% ,and the authority coefficients were 0. 87 and 0. 89,the coordination coefficient 0. 42 and 0. 43. The number of items on the core content through two rounds of expert consultation was determined including 10 Grade I items,35 Grade II items and 98 Grade Ⅲ items,and the final program included three components containing nursing intervention program, mastery of nursing points during follow-up,and use of health education manual. Conclusions The construction of a scientific and effective the continuing nursing intervention programs is a effective way to ensure the homogeneity of the nursing service for medical staffs and to keep the nursing intervention based the standard,so as to provide a safe life for discharged patients.