首页|基于ITHBC理论AVF肾病患者围透析期自我管理方案的构建

基于ITHBC理论AVF肾病患者围透析期自我管理方案的构建

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目的 构建科学、可行的自体动静脉内瘘(AVF)肾病患者围透析期自我管理方案。方法 通过文献检索,以健康行为改变整合理论(ITHBC)为理论基础初步构建AVF肾病患者围透析期自我管理方案,应用德尔菲法对 24 名专家进行 2轮专家咨询,对各级指标进行评定与修改。结果 2 轮专家咨询问卷回收率均为100%(24/24),专家权威系数(Cr)分别为 0。895、0。915,专家协调系数Kendall's W分别为 0。153、0。221。第 2轮专家意见变异系数为0。010~0。099,均小于0。250。2 轮德尔菲专家咨询确定3 个一级指标、10 个二级指标和22个三级指标。结论 基于ITHBC理论构建AVF肾病患者围透析期自我管理方案具有较好的科学性与可操作性,能够为AVF肾病患者围透析期间自我管理提供依据和指导。
Construction of self-management program for peridialysis period of AVF nephropathy patients based on ITHBC theory
Objective To construct a scientific and feasible self-management program for peridialysis period of arteriovenous fistula(AVF)nephropathy patients.Methods Through literature search,the integrated theory of health behavior change(ITHBC)was used as the theoretical basis to initially construct a self-management program for peridialysis period of AVF nephropathy patients.Delphi method was used to conduct two rounds of expert consultation in 24 experts,and indicators at all levels were evaluated and modified.Results The recovery rates of the two rounds of expert consultation questionnaires were 100%(24/24),the expert authority coefficients(Cr)were 0.895 and 0.915,and the expert coordination coefficients Kendall's W were 0.153 and 0.221,respectively.The coefficient of variation of the second round of expert opinions ranged from 0.010 to 0.099,all of which were less than 0.250.Two rounds of Delphi expert consultation identified 3 first-level indicators,10 second-level indicators and 22 third-level indicators.Conclusion It is scientific and operable to construct self-management program for peridialysis period of AVF nephropathy patients based on ITHBC theory,which can provide basis and guidance for self-management for peridialysis period of AVF nephropathy patients.

arteriovenous fistulaperidialysis periodintegrative theory of health behavior change

卢亮、魏丽丽、高欣

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青岛大学附属医院,山东 青岛,266011

青岛黄海学院,山东 青岛,266005

自体动静脉内瘘 围透析期 健康行为改变整合理论

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(9)
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