基于德尔菲法构建门诊注射美容健康档案的研究

Establishment of health records for outpatients with cosmetic injections by the Delphi method

目的探讨门诊注射美容健康档案的构建方法。方法采用德尔菲法对20名专家进行两轮咨询,构建健康档案表。结果两轮咨询中专家的问卷回收率分别为90.00%(18/20)和100.00%(18/18)。专家权威系数为(0.818±0.057),两轮专家意见的协调系数分别是0.205和0.260。最终确立门诊注射美容患者(求美者)健康档案的内容包括注射前知情同意书、注射前评估单、注射记录单、注射后健康教育单、注射后随访单五个部分,共5个一级指标,42项二级指标。结论本研究专家的积极系数和权威系数均较高,专家意见的变异系数和协调系数均符合统计学的要求,形成的健康档案对提高注射美容患者和求美者的满意度,减少不良反应,降低并发症发生风险具有积极意义。

Objective To investigate the construction of health records for outpatients w ith cosmetic injections. Methods Tw o rounds of consultation to 20 experts by Delphi method w ere carried out,and the evaluating indicators of the health records for outpatients w ith cosmetic injections w ere determined. Results This study achieved a high positive coefficient and the authority coefficient,and the variation coefficient and coordination coefficient w ere accepted by the requirements of the statistical analysis. The questionnaire returns-ratio w as 90. 00%（ 18/20） and 100. 00%（ 18/18）respectively. The expert authority coefficient w as（ 0. 818 ± 0. 057）,and the conformity coefficient of experts＇ s opinion w as 0. 205 in first round of consultation and 0. 260 in second round consultation.The five contents of health records w ere established including informed consent,evaluation before injection,injection record,health education and follow-up after injection. Conclusion The aim of establishing the health records for outpatients w ith cosmetic injections is to improve the quality of nursing management in cosmetic surgery. This formed health record may reduce the risk of complications and improve the satisfactory degree of people undergoing cosmetic injections.