葡萄膜炎患者延续护理方案的构建

Construction of extended care program for patients with uveitis

目的构建葡萄膜炎患者延续护理方案,为葡萄膜炎患者延续护理实践提供参考。方法结合奥马哈问题分类系统,在文献检索、半结构式访谈基础上,采用Delphi法对19名专家进行两轮函询。结果函询问卷有效回收率均为100%,专家权威系数分别为0.916、0.926,Kendall协调系数(W)分别为0.170、0.224。形成方案有葡萄膜炎患者护理问题评估表和延续护理实施方案两个部分,包括环境、心理社会、生理及健康行为共4项一级指标、34项二级指标和74项三级指标。结论方案基于奥马哈问题分类系统,结合临床情景和专家意见而形成,具有较好的科学性和临床实用性,可为葡萄膜炎患者延续护理实践提供参考。

Objective To construct the extended care program for the patients with uveitis to provide reference for the extended care program practice in the patients with uveitis.Methods By combining with the Omaha problem classification system,on the basis of literature retrieval and semi-structured interview,then the Delphi method was adopted to conduct the 2-round expert consultation among 19 experts.Results The effective recovery rate of correspondence questionnaire was 100%.The expert authority coefficients were 0.916 and 0.926,and the Kendall’s cooperation coefficient(W)were 0.170 and 0.224,respectively.The forming plan consisted of two parts:the evaluation form of care problems for the patients with uveitis and the implementation plan of extended care,including 4 first level indicators:environment,psychosociety,physiology and health behavior,34 second level indicators and 74 third level indicators.Conclusion The program is based on the Omaha problem classification system,combined with clinical scenarios and expert opinions,and has good scientific and clinical practicability,so it can provide reference for conducting the extended care practice in the patients with uveitis.