维持性血液透析合并便秘患者护理干预方案的构建
Development of a nursing intervention program for patients in maintenance haemodialysis with constipation
巨梅 1丁小容 2游励红 2窦丽君 3张晶 3秦美容 3张笑萌 1陈丹4
作者信息
- 1. 汕头大学医学院,广东汕头,515041
- 2. 北京大学深圳医院 护理部,广东深圳,518034
- 3. 长江大学医学院,湖北荆州,451199
- 4. 北京大学深圳医院 血液净化室,广东深圳,518034
- 折叠
摘要
目的 以计划行为理论与知信行整合模式为理论框架,构建维持性血液透析(maintenance hemodialysis,MHD)合并便秘患者护理干预方案,为临床患者提供系统化、标准化、规范化的护理干预措施.方法 以计划行为理论与知信行整合模式为理论框架,通过文献回顾及专家讨论,初步拟定MHD合并便秘患者干预方案初稿;采用德尔菲专家函询方法,根据专家意见对护理干预方案条目进行修改,形成最终方案.结果 16 位专家经过 2 轮函询后意见趋于一致,第 1、2 轮函询问卷有效回收率分别为 80%、100%,专家权威系数为 0.89,第 1、2 轮函询各项指标重要性的肯德尔协调系数W分别为 0.299、0.355,具有统计学意义(均P＜0.05).最终构建的干预方案包括提高疾病知识、转变行为态度、引导主观规范、强化行为控制及转变行为意向5 个一级指标、10 个二级指标、40 个三级指标.结论 本研究构建的护理干预方案具有可靠性、科学性及实用性,可供临床医护人员应用于MHD合并便秘患者的护理.
Abstract
Objective To develop a nursing intervention program for patients under maintenance haemodialysis with constipation based on the theoretical frameworks of planned behaviour and integrated model of knowledge,attitude and practice(KAP)so as to provide a reference for conducting a systematic and standardised nursing intervention.Methods The theory of planned behaviour and the integrated model of KAP were used to draft an intervention program for patients with constipation while in maintenance haemodialysis by way of literature review and expert discussion.Delphi method was used to conduct the correspondence consultations from experts to modify all the items included in the drafted intervention program and finalise it to be an executable program.Results After two rounds of correspondence consultations,16 experts reached consensus on the program.The effective response rates of the two rounds were 80%and 100%,respectively,with the expert authority coefficient of 0.89,and the Kendall coordination coefficient of the importance of the two rounds at 0.299 and 0.355,respectively(P＜0.05).The finalised intervention program included 5 primary indicators that included the improving disease cognition,changing behavioural attitude,guiding subjective norms,strengthening behavioural control and changing behavioural intention,with additional 10 secondary indicators and 40 tertiary indicators.Conclusions The nursing intervention program for the patients with constipation while in maintenance haemodialysis developed in this study is reliable,scientific,and practical.Therefore,it can be applied by clinical staff to the care for the patients with constipation while in maintenance haemodialysis.
关键词
计划行为理论/知信行模式/维持性血液透析/便秘/德尔菲法/护理Key words
theory of planning behaviour/knowledge,attitude and practice/maintenance haemodialysis/constipation/Delphi technique/nursing引用本文复制引用
基金项目
深圳市卫生健康委引进高层次医学团队项目(2021)(SZSM202111013)
出版年
2024
NETL
NSTL
万方数据