基于德尔菲专家咨询法构建慢性心力衰竭患者延续性护理健康赋权方案

Construction of continuous nursing health empowerment program for chronic heart failure patients based on Delphi expert consultation

目的:基于健康赋权理论构建慢性心力衰竭患者延续性护理健康赋权方案,以提高慢性心力衰竭患者在延续性护理中的参与和自我管理。方法:2019年1—6月通过文献检索、结合质性访谈结果,初步构建慢性心力衰竭患者延续性护理健康赋权方案。2019年7—8月采用目的抽样法选取心血管内科护理、老年护理、社区护理、护理管理15名专家进行2轮德尔菲专家咨询,构建慢性心力衰竭患者延续性护理健康赋权方案。结果:2轮专家咨询问卷回收率均为100%(15/15),专家权威系数为0.90。第1轮结果显示专家对条目的修改率为66.67%(10/15),增加22个条目,修改10个条目,合并13个条目,删除7个条目。第2轮结果显示专家对条目的修改率为20.00%(3/15),增加1个条目,修改2个条目。2轮德尔菲专家咨询后确定了5个一级条目、18个二级条目和75个三级条目。结论:本研究基于德尔菲专家咨询法构建慢性心力衰竭患者延续性护理健康赋权方案,有助于提高慢性心力衰竭患者的参与和自我管理,提高延续性护理的开展效果。

Objective To construct the continuous nursing health empowerment program for chronic heart failure(CHF)patients based on health empowerment theory so as to improve the participation and self-management of CHF patients in continuous nursing.Methods From January to June 2019,we initially established the continuous nursing health empowerment program for CHF patients based on literature search combined with qualitative interview results.From July to August 2019,we selected 15 experts in cardiovascular medical nursing,geriatric nursing,community nursing and nursing management for two rounds of Delphi expert consultations by purposive sampling to construct the continuous nursing health empowerment program for CHF patients.Results The recovery rate of two rounds of expert consultation questionnaires was 100%(15/15),and the expert authority coefficient was 0.90.The results of the first round showed that the modification rate of experts was 66.67%(10/15),adding 22 items,modifying 10 items,merging 13 items and deleting 7 items.The results of the second round showed that the modification rate of experts was 20.00%(3/15),adding 1 item and modifying 2 items.After two rounds of Delphi expert consultations,we determined 5 first-level items,18 second-level items and 75 third-level items.Conclusions Construction of continuous nursing health empowerment program for CHF patients based on Delphi expert consultation help improve the participation and self-management of patients with CHF and improve the effectiveness of continuous nursing.