以六何分析法为理论框架的先天性肛门闭锁患儿延续护理方案的构建

Construction of continuous nursing program for children with congenital imperforate anus based on 5W1H analysis

目的以六何分析法为理论框架,应用德尔菲专家咨询法构建肛门闭锁患儿出院后的延续护理方案。方法本研究为观察性研究,于2021年4月至2022年3月,通过查阅文献、质性访谈和小组讨论的方法构建专家函询问卷,应用德尔菲专家咨询法进行2轮专家函询,评价专家的积极性、权威性及意见的协调性。结果对20名专家进行2轮专家函询,问卷回收率分别为19/20和20/20,专家权威系数分别为0.873和0.893,Kendall协调系数分别为0.311和0.405,专家意见的协调性差异有统计学意义(P<0.05);2轮专家函询后最终确定肛门闭锁患儿延续护理方案包括3个一级指标(延续护理的人员构成及职责、延续护理实施方法、延续护理实施内容),23个二级指标,46个三级指标。结论本研究专家积极性和权威程度高,各项指标专家意见集中,结果可靠、科学、全面,将为临床医护人员实施肛门闭锁患儿的延续护理提供依据。

Objective Based on the framework of 5W1H analysis,to establish the continuous nursing project by delphi expert consultation method for children with congenital imperforate anus after discharge.Methods This study is observational.Through the literature review,qualitative interview and group discussion to establish the expert correspondence questionnaire from April 2021 to March 2022.Delphi consultation was applied to experts for two rounds of expert consultation,to evaluate the initiative,authority and coordination of expert opinions.Results Two rounds of expert consultation were carried out with 20 experts.The response rates of two rounds of expert questionnaires were 19/20 and 20/20 respectively,the expert authority coefficients were 0.873 and 0.893 respectively,and the Kendall′s coefficients were 0.311 and 0.405 respectively.The coordination of expert opinions was statistically significant(P<0.05);After two rounds of expert consultation,it was finally determined that the continuing care plan for children with anal atresia included three first-level indicators(composition and responsibilities of continuing care personnel,implementation methods of continuing care,and implementation content of continuing care),23 second-level indicators,and 46 third-level indicators.Conclusions This study have high enthusiasm and authority of experts,and concentrated expert opinions on various indicators.The results are reliable,scientific and comprehensive,which will provide a basis for clinical medical staff to carry out the continuous nursing of children with congenital imperforate anus.