神经源性膀胱上尿路损害风险管理方案的构建

Establishment of a upper urinary tract injury risk management program for patients with neurogenic bladder

目的构建神经源性膀胱上尿路损害风险管理方案,为预防神经源性膀胱患者上尿路损害提供依据。方法采用文献研究法、专家小组讨论法、德尔菲法及百分权重法筛选指标并确定指标权重,确定神经源性膀胱上尿路损害风险管理方案。结果2轮专家咨询的问卷回收率分别是95.00%、84.21%,专家权威系数分别是0.87、0.88,一级指标肯德尔协调系数(W)分别是0.351、0.421(均P<0.05)。最终形成的管理方案包含4个一级指标,12个二级指标、26个三级指标。结论神经源性膀胱上尿路损害风险方案的各条目函询意见趋于一致,专家积极性和权威性高,构建的神经源性膀胱上尿路损害管理方案可规范神经源性膀胱上尿路损害预防措施的落实。

Objective To establish a neurogenic bladder upper urinary tract injury risk management program,and to provide reference for preventing upper urinary tract injury for patients with neurogenic bladder.Methods The indexes were screened and weight were identified using literature review,expert panel discussion,Delphi technique and percentage weight method,then the upper urinary tract injury risk management program for patients with neurogenic bladder was established.Results The recovery rate of the questionnaire in the two rounds was 95.00%and 84.21%,experts′authority coefficient was 0.87 and 0.88,and the Kendall′s coordination coefficient W for the first level indexes was 0.351 and 0.421(P<0.05 for both).The final management program was consisted of 4 first-level indexes,12 second-level indexes,and 26 third-level indexes.Conclusion The inquiry suggestion of each item in the upper urinary tract injury risk management program for patients with neurogenic bladder tends to be consistent,experts′enthusiasm and authority are high,and the established management program could be used to implement the prevention of the upper urinary tract injury.