基于健康行动过程取向理论的产后压力性尿失禁患者自我管理干预方案的构建

Construction of Self-Management Intervention Program for Patients with Postpartum Stress Urinary Incontinence Based on Health Action Process Orientation Theory

目的以健康行动过程取向理论为基础,构建产后压力性尿失禁(Postpartum Stress Urinary Incontinence,PSUl)患者的自我管理干预方案。方法系统检索PSUI自我管理文献,经专家小组讨论后形成干预初稿,采用德尔菲专家函询构建产后压力性尿失禁自我管理最终干预方案。结果通过两轮专家函询,问卷回收率分别为95%和100%,专家权威系数分别为0.937和0.944,肯德尔协调系数分别为0.232和0.423(P<0.001),最终形成包含3个一级指标、10个二级指标、20个三级指标的干预方案终稿。结论构建的产后压力性尿失禁患者自我管理干预方案系统、具体、实用,方法科学,可为患者自我管理提供临床参考依据。

Objective To construct a self-management intervention program for patients with postpartum stress urinary incontinence based on the theory of health action process approach.Methods We systematically searched the literature on PSUI self-management,formed a preliminary intervention draft after discussion with an expert panel,and used the Delphi expert consultation method to construct the final self-management intervention program for postpartum stress urinary incontinence.Results After two rounds of expert consultation,the questionnaire recovery rates were 95%and 100%,the expert authority coeffi cients were 0.937 and 0.944,and the Kendall’s coeffi cients were 0.232 and 0.423(P<0.001),respectively.The fi nal intervention program consisted of 3 primary indicators,10 secondary indicators,and 20 tertiary indicators.Conclusion The constructed self-management intervention program for patients with postpartum stress urinary incontinence is systematic,specifi c,practical,and scientifi cally sound,providing a clinical reference for patient self-management.