应用Delphi法构建产褥期妇女自我护理能力白评量表

Self Rating Scale for Self Care Ability of puerperal women using Delphi method

目的构建产褥期妇女自我护理能力自评量表，为家庭、社区、医院评价产褥期妇女自我护理能力提供针对性的测评工具。方法以Orem自我护理理论为指导，通过文献查阅、质性访谈、小组讨论以及Delphi法初步构建产褥期妇女自我护理能力自评初始量表。用Delphi法对18名专家进行3轮问卷咨询，并用专家积极系数、权威系数、肯德尔和谐系数来检验该方法的可靠性。结果3轮专家咨询的问卷回收比分别为20／21、18／20、18／18，肯德尔和谐系数分别为0．322、0．347、0．502，专家权威系数为0．88。对专家咨询结果进行综合分析，确立了产褥期妇女自我护理能力自评量表包括自我护理态度、自我护理知识及自我护理技能的3个初始维度和42个条目。结论产褥期妇女自我护理能力自评量表具有较高的可靠性，可作为产褥期妇女自我护理能力的测评工具。

Objective To construct a Self Rating Scale for Self Care Ability of puerperal women, and to provide pertinent assessment tools for family, community and hospital to evaluate the self-care ability of puerperium women. Methods Guided by the theory of Orem self-care, the initial scale of Self Rating Scale for Self Care Ability of puerperal women was preliminarily constructed through literature review, qualitative interview, group discussion and Delphi （Delphy expert consultation）. Delphi method was used to conduct 3 rounds of questionnaire consultation among 18 experts, and the reliability of the method was tested by expert＇s positive coefficient, authority coefficient and coordination coefficient. Results The questionnaire recovery rates of 3 rounds of consultation experts were 20/21, 18/20 and 18/ 18, respectively, coordination coefficient was 0.322, 0.347, 0.502, respectively, and the expert authority coefficient was 0.88. Based on the comprehensive analysis of the results of expert consultation, Self Rating Scale for Self Care Ability of puerperal women included the initial 3 dimensions of self-care attitude, self- care knowledge and self-care skills and 42 items. Conclusions Self Rating Scale for Self Care Ability of puerperal women has high reliability, which can be used as an assessment tool for self nursing ability of puerperal women.