青少年1型糖尿病患者健康教育效果评价指标体系的构建

Development of evaluation index system for health education effect of adolescents with type 1 diabetes mellitus

目的构建科学、系统、规范的青少年1型糖尿病患者健康教育效果评价指标体系。方法以知信行理论为基础,结合健康信念模式为理论指导,采用文献分析、质性访谈及小组成员反复讨论的方法拟定青少年1型糖尿病患者健康教育效果评价指标体系的专家函询初稿,进行2轮专家函询,研究小组对函询结果进行整理与分析,对指标结构、条目内容及顺序进行反复讨论,确定青少年1型糖尿病患者健康教育效果评价指标体系,采用层次分析法确定各指标的权重。结果共21名专家参与函询,均为女性,年龄(43.48±5.84)岁,2轮问卷有效回收率分别为84.00%(21/25)、85.71%(18/21),专家权威系数分别为0.96和0.97,Kendall协调系数分别为0.181、0.256(P<0.05)。层次分析结果显示,6个判断矩阵的一致性系数均<0.1。最终构建的指标体系拥有5项一级指标(健康知识、健康信念、健康行为、生理指标、健康教育满意度)、38项二级指标。结论构建的青少年1型糖尿病患者健康教育效果评价指标体系具有较高的科学性与可靠性,可为临床护理人员评价与监测青少年1型糖尿病患者健康教育效果提供参考依据。

Objective To develop an evaluation index system on health education effect for adolescents with type 1 diabetes mellitus(T1DM).Methods Using"knowledge-attitude/belief-practice"model and health belief model as the theoretical framework,the first draft of the expert consulation questionnaire for evaluation index system on health education effect for adolescents with type 1 diabetes mellitus was drawn up through literature review,qualitative interview,and repeated discussions between groups.Two rounds of expert consultation were conducted.The results of the consulation were sorted and analyzed,the index structure,item content,and sequence were discussed repeatedly,and the evaluation index system on health education effect for adolescents with T1DM was determined,and the analytic hierarchy process was used to determine its weight.Results A total of 21 female experts participated in two rounds of survey whose age was(43.48±5.84)years old.The questionnaire response rates of the two rounds of expert consultations were 84.00%(21/25)and 85.71%(18/21),the authoritative coefficients were 0.96 and 0.97,the Kendall coordination were 0.181 and 0.256,respectively(P<0.05).The consistency test of the weight of each indicator showed that the consistency ratios were all<0.1.The evaluation index system on health education effect for adolescents with T1DM was constructed with 5 first-level indicators(health knowledge,health belief,health practice,physiological indexes and health education satisfaction),38 second-level indicators.Conclusions The method used to construct the evaluation index system on health education effect for adolescents with T1DM was highly scientific and reliable,which provides the basis for clinical nurses to evaluate and monitor the effect of health education in adolescents with T1DM.