首页|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

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

扫码查看
原文链接
  • NETL
  • NSTL
  • 万方数据
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.
Development of a question prompt list on decision making in patients with diabetic foot:a feasibility study
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.

diabetic footmedical decision makinginformation needsquestion prompt listdecision making participationshared decision makingDelphi techniqueinternal nursing

李姗姗、黄红艳、郑洁

展开 >

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

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)

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

华中科技大学同济医学院护理学院自主创新项目(2023)

ZZCX2023L001

2024

10.3870/j.issn.1001-4152.2024.09.036

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子：2.062
ISSN：1001-4152
年,卷(期)：2024.39(9)
  • 26