糖尿病足住院患者决策信息需求问题提示列表的构建及可行性评估
Development of a question prompt list on decision making in patients with diabetic foot:a feasibility study
李姗姗 1黄红艳 2郑洁3
作者信息
- 1. 华中科技大学同济医学院附属梨园医院护理部(湖北武汉,430077);华中科技大学同济医学院护理学院
- 2. 华中科技大学同济医学院附属梨园医院护理部(湖北武汉,430077)
- 3. 华中科技大学同济医学院附属梨园医院创面修复科(湖北武汉,430077)
- 折叠
摘要
目的 构建糖尿病足住院患者决策信息需求问题提示列表,为促进其参与医疗决策提供实用工具.方法 通过查阅文献、咨询临床一线的专科医护人员、半结构式访谈、德尔菲专家函询并经过临床调适后确定问题提示列表患者版本,便利抽样法选取39例住院患者对问题提示列表在临床使用的可行性进行评估.结果 2轮专家函询的积极系数分别为95.00％和100.00％,专家权威系数为0.951、0.948;第2轮专家函询,指标重要性及相关性的肯德尔协调系数分别为0.214、0.200(均P＜0.05).最终的问题提示列表包括6个一级指标和43个二级指标.41.03％～69.23％的患者认可问题提示列表的临床使用效果.结论 糖尿病足住院患者决策信息需求问题提示列表具有可行性,能够帮助住院患者提出更多疾病相关问题,改善医患沟通,促进患者参与医疗决策.
Abstract
Objective To develop a question prompt list(QPL)on decision making in patients with diabetic foot,and to provide a practical tool for promoting their participation in medical decision-making.Methods The patient version of the QPL was formulated by using literature review,consultation with first-line medical staff,semi-structured interviews,Delphi consultation and clinical adaptation.Then,a convenience sample of 39 patients were selected to evaluate the clinical feasibility of the QPL.Results Question-naire return rate in two rounds of Delphi consultation was 95.00％and 100.00％respectively,and the authority coefficient was 0.951 and 0.948.The Kendall's W of importance and relevance of the indicators was 0.214 and 0.200 respectively(both P＜0.05).The QPL included 6 primary indicators and 43 secondary indicators.About 41.03％-69.23％of the patients approved of the efficacy of the QPL.Conclusion The QPL on decision making for patients with diabetic foot is feasible,which can help them ask more disease-related questions,improve doctor-patient communication,and promote patients'participation in decision making.
关键词
糖尿病足/医疗决策/信息需求/问题提示列表/决策参与/共同决策/德尔菲法/内科护理Key words
diabetic foot/medical decision making/information needs/question prompt list/decision making participation/shared decision making/Delphi technique/internal nursing引用本文复制引用
基金项目
华中科技大学同济医学院护理学院自主创新项目(2023)(ZZCX2023L001)
出版年
2024
NETL
NSTL
万方数据