青少年固定正畸患者延续性护理方案的构建

Delphi method in building up evaluation system of oral health self-management ability for adolescent orthodontic patients with fixed appliance

目的:构建青少年固定正畸患者延续性护理方案,为开展针对青少年固定正畸患者的延续性护理实践提供指导。方法:在文献回顾、需求调查基础上,采用Delphi法对来自口腔医疗、护理领域的16名专家进行2轮问卷函询。结果:两轮函询问卷的回收率均100%;专家权威系数均0.8以上;最终构建形成的延续性护理方案包含5个实施阶段,每个阶段包含实施时间、人员、方式、内容4个维度共18项实施内容,实施内容共60个细则。结论:本研究布及固定正畸的五大治疗阶段,建立了以患者为中心、以需求为导向的全过程、精细化、可操作性强的延续性护理方案,确立了有具体实施时间、实施人员、实施方式和实施内容的科学、实用的临床护理指导方案。

Objective:To construct a continuous nursing program for adolescent fixed orthodontic patients and to provide guidance for the development of continuous nursing practice for adolescent fixed orthodontic patients.Methods:Based on the literature review and demand survey,two rounds of questionnaires were sent to 16 experts from the field of dental medicine and nursing using the Delphi method.Results:The expert active attitude coefficient of the two-round Delphi methods were 100%.The expert authority coefficient were above 0.8.The resulting continuous nursing program consists of five implementation phases.Each phase contains four dimensions of implementation time,personnel,methods,and content.There were 18 implementation contents and a total of 60 details for implementation content.Conclusion:Based on the five treatment stages of fixed orthodontics,this study established a patient-centered,demand-oriented,comprehensive,refined,and actionable continuous care program,which established specific implementation time,implementation personnel,implementation methods and implementation contents,and was scientific and clinically practical.