基于德尔菲法构建冠心病患者心脏康复依从性评价量表

Development of an adherence of cardiac rehabilitation assessment scale in patients with coronary heart disease based on the Delphi method

目的:构建冠心病患者心脏康复依从性评价量表,为开展针对性干预提供测评工具。方法:在前期开展的半结构访谈基础上,采用文献回顾法并结合2018版《中国心脏康复/二级预防指南》《中国居民膳食指南》等形成初始量表条目池并编制专家函询问卷。采用德尔菲法,对22名专家进行两轮函询,根据专家函询结果筛选量表条目。结果:2轮函询问卷有效回收率均为100%;2轮函询专家的权威系数分别为0.884,0.911。第2轮专家函询中一级指标、二级指标的Kendall协调系数分别为0.374,0.168(P<0.05)。本研究构建的冠心病患者心脏康复依从性量表包括运动依从性、服药依从性、危险因素管理及戒烟限酒依从性、营养管理依从性、心理管理依从性5个一级指标,35个二级指标。结论:本研究构建的冠心病患者心脏康复依从性评价量表,研究方法科学、可靠,可为冠心病患者心脏康复依从性评价提供借鉴,但还需进一步的实证研究。

Objective:To develop a scale for assessing the adherence of patients with coronary heart disease to cardiac rehabilitation.Method:We designed an initial scale for evaluation of adherence of cardiac rehabilitation and a questionnaire for expert information collecting based on literature review,and employed the Delphi method to develop a set of indicators to measure cardiac rehabilitation compliance in patients with coronary heart disease.Twenty-two experts finished the 2-round survey.Result:The effective recovery rates of the two rounds of questionnaires were both 100%;the authority coefficients of the questionnaire experts were 0.884 and 0.911,respectively.The Kendall coordination coefficients of the first-level indicators and the second-level indicators in the second round of expert inquiries were 0.374 and 0.168,respectively(P<0.05).The adherence of cardiac rehabilitation assessment scale for patients with coronary heart disease included 5 first-level indicators(exercise adherence,medication adherence,risk factor management adherence,nutritional management adherence and psychological management adherence)and 35 second-level indicators.Conclusion:The constructed cardiac rehabilitation adherence scale for patients with coronary heart disease is scientific and reliable.It could provide reference for evaluating cardiac rehabilitation adherence for patients with coronary heart disease,and further empirical research is needed.