慢性阻塞性肺疾病患者运动训练决策辅助工具的编制

Development of an exercise training decision aid for patients with chronic obstructive pulmonary disease

目的研制慢性阻塞性肺疾病(COPD)患者运动训练决策辅助工具,以期改善患者运动依从性,提高决策质量。方法以渥太华决策理论为指导,基于本研究团队前期研究结果,并结合文献分析,通过2轮专家函询形成COPD患者运动训练决策辅助工具初版。对该决策辅助工具接受度进行用户评估调试,并形成COPD患者决策辅助工具终版。结果本研究共进行了2轮专家函询,2轮专家权威系数均为0.827,其中判断系数为0.853,熟悉程度为0.800。2轮专家评审协调系数(Kendall′s W)显著性P<0.001。用户评估测试显示,该工具具备较好的可接受性和实用性,最终形成的COPD患者运动训练决策辅助工具修订版包含一级指标6项、二级指标25项。结论本研究所研制的COPD患者运动训练决策辅助工具具备科学性和实用性,可以帮助患者更好地了解运动训练决策相关信息,减少决策冲突,提高决策质量。

Objective To develop an exercise training decision aid for chronic obstructive pulmonary disease(COPD)patients in order to improve patients′exercise compliance and decision quality.Methods Based on the guidance of Ottawa decision theory,the preliminary version of the exercise training decision aid for COPD patients was developed through two rounds of expert correspondence based on the results of previous studies by our research team and literature analysis.A user assessment of the acceptance of the decision aid was conducted and the final version of the decision aid for COPD patients was developed.Results Two rounds of expert consultation were conducted,and the authority coefficient of both rounds was 0.827,including a judgment coefficient of 0.853 and a familiarity coefficient of 0.800.The coordination coefficient(Kendall′s W)of the two rounds of expert evaluation was significant at P<0.001.The user evaluation test showed that the tool had good acceptability and practicality,and the final revised version of the exercise training decision aid for COPD patients contained 6 primary indicators and 25 secondary indicators.Conclusion The exercise training decision aid for COPD patients developed in this study is scientific and practical,and can help patients better understand information related to exercise training decisions,reduce decision conflicts,and improve decision quality.