老年糖尿病病人居家不良事件评价体系的构建

Establishment of home adverse event evaluation system for elderly patients with diabetes

目的探索建立适用于老年糖尿病病人的居家不良事件评价体系。方法通过文献回顾及研究小组讨论,初步形成老年糖尿病病人居家不良事件评价体系的基本框架,确定一级指标、二级指标。遴选函询专家,采用德尔菲法,以电子邮件或问卷星的方式发放2轮专家函询问卷,由专家对老年糖尿病病人居家不良事件各指标的重要性、熟悉程度和判断依据进行评分。每轮函询结束后,计算专家的权威系数(Cr)以及各指标的重要性评分、变异系数。采用Kendall’s W检验分析专家的协调程度。结果第一轮发放问卷17份,收回有效问卷15份,问卷回收率为88.24%,专家Cr为0.933;第一轮问卷包括5个一级指标和26个二级指标,一级指标和二级指标的肯德尔和谐系数分别为0.418和0.470,各指标的变异系数为0.05~0.34,重要性评分为3.20~4.93分。第二轮发放问卷15份,收回有效问卷15份,问卷回收率为100.00%,专家Cr为0.947;第二轮问卷包括5个一级指标和27个二级指标,一级指标和二级指标的肯德尔和谐系数分别为0.436和0.398,各指标变异系数为0.05~0.21,重要性评分为3.53~4.93分。经过2轮指标的删减、增添和修改,最终形成5个一级指标和27个二级指标。结论本研究初步构建了老年糖尿病病人居家不良事件评价体系,可为老年糖尿病病人居家管理提供评价依据。

Objective To establish a home adverse event evaluation system for elderly patients with diabetes.Methods Through literature review and research group discussion,the basic framework of home adverse event evaluation system for elderly patients with diabetes was initially formed,and primary and secondary indexes were determined.After selecting the consulting experts,Delphi method was adopted and two rounds of expert consulting questionnaires were sent out by E-mail or questionnaire star.The experts rated the importance,familiarity and judgment basis of each indicator of home adverse events in the elderly patients with diabetes.After each round of consultation,the authority coefficient(Cr)of the experts and the importance score and variation coefficient of each index were calculated.Kendall’s W test was used to analyze the coordination degree of the experts.Results In the first round,17 questionnaires were sent out,and 15 valid questionnaires were collected,with a questionnaire recovery rate of 88.24%,and the Cr of the experts was 0.933.The first round of questionnaire included 5 first-level indicators and 26 second-level indicators.The Kendall concordance coefficient of first-level indicators and second-level indicators were 0.418 and 0.470,respectively.The coefficient of variation of each indicator ranged from 0.05 to 0.34,and the importance scores ranged from 3.20 to 4.93.In the second round,15 questionnaires were sent out,and 15 valid questionnaires were collected.The questionnaire recovery rate was 100.00%,and the Cr of the experts was 0.947.The second round of questionnaire included 5 first-level indicators and 27 second-level indicators.The Kendall concordance coefficient of first-level indicators and second-level indicators were 0.436 and 0.398,respectively.The coefficient of variation of each indicator ranged from 0.05 to 0.21,and the importance scores ranged from 3.53 to 4.93.After two rounds of deletion,addition and modification of indicators,5 first-level indicators and 27 second-level indicators were finally formed.Conclusions In this study,the evaluation system of home adverse events for elderly patients with diabetes is preliminarily established,which can provide an evaluation basis for home management of elderly patients with diabetes.