基于《促进以患者为中心的学习》指南的肠造口患者健康教育方案的构建

Construction of a health education program for enterostomy patients based on the guideline of Facilitating Client Centered Learning

目的基于《促进以患者为中心的学习》指南构建肠造口患者健康教育方案。方法于2022年7—10月,在前期指南适应性调查与文献研究的基础上,初步形成肠造口患者健康教育方案初稿,采用目的抽样法选取13名专家,通过德尔菲法对方案初稿进行2轮专家函询,构建肠造口患者健康教育最终方案。计算专家的权威程度、专家积极性、专家意见协调程度与集中程度。结果形成的肠造口患者健康教育方案包含3个一级指标、9个二级指标、31个三级指标。第1轮和第2轮函询问卷的有效回收率均为100.0%,专家的权威系数均>0.7,第2轮函询中,一、二、三级指标重要性的肯德尔协调系数为0.231、0.154、0.182(P<0.05),一、二、三级指标可行性的肯德尔协调系数分别为0.216、0.154、0.129(P<0.05),变异系数均<0.25。结论基于《促进以患者为中心的学习》指南构建的肠造口患者健康教育方案具有一定的实用性和科学性,能够为临床实践提供指导。

ObjectiveTo construct a health education program for enterostomy patients based on the guideline of Facilitating Client Centered Learning.MethodsFrom July to October 2022,based on the adaptability survey and literature research of the previous guidelines,the first draft of the health education program for enterostomy patients was formed.A total of 13 experts were selected using purposive sampling method,and two rounds of expert consultation were conducted through the Delphi method on the first draft of the program to build the final health education program for enterostomy patients.We calculated the authority,enthusiasm,coordination,and concentration of experts.ResultsThe health education program for enterostomy patients included 3 first-level indicators,9 second-level indicators,and 31 third-level indicators.The effective response rates of the first and second rounds of consultation questionnaires were both 100.0%,and the authority coefficients of experts were both greater than 0.7.In the second round of consultation,the Kendal coordination coefficients of the importance of the first,second and third level indicators were 0.231,0.154 and 0.182(P<0.05),and the Kendal coordination coefficients of the feasibility of the first,second and third level indicators were 0.216,0.154 and 0.129(P<0.05),with coefficients of variation<0.25.ConclusionsThe health education program for enterostomy patients based on the guideline of Facilitating Client Centered Learning is practical and scientific,and can provide guidance for clinical practice.