基于EPPM理论胃癌患者一级亲属胃癌筛查行为干预方案构建
Construction of Behavioral Intervention Plan for Gastric Cancer Screening in First-Degree Relatives of Patients With Gastric Cancer Based on EPPM
温秀梅 1苏丹 1李霞 2王旭 1刘李 1唐媛3
作者信息
- 1. 资阳市雁江区人民医院普外科,四川 资阳 641300
- 2. 资阳市雁江区人民医院胸外肿瘤科,四川资阳 641300
- 3. 四川省肿瘤医院护理部,四川 成都 610041
- 折叠
摘要
目的 构建基于拓展平行过程理论(extended parallel process model,EPPM)的胃癌患者一级亲属胃癌筛查行为干预方案.方法 2023 年 3-11 月,在文献回顾和小组讨论的基础上形成基于EPPM理论的胃癌患者一级亲属胃癌筛查行为干预方案初稿,采用德尔菲专家函询法对 18 名专家进行 2 轮函询,形成干预方案终稿.结果 2 轮专家函询共构建 2 个一级指标、4 个二级指标和 27 个三级指标的筛查干预方案.专家权威系数分别为 0.822、0.884;2 轮函询的肯德尔协调系数分别为 0.176、0.373,差异有统计学意义(P<0.001).结论 构建的基于EPPM理论的胃癌患者一级亲属胃癌筛查行为干预方案具有可靠性和实用性,以期为胃癌患者一级亲属胃癌筛查行为干预提供借鉴依据.
Abstract
Objective To develop an intervention program for gastric cancer screening behavior among first-degree relatives of gastric cancer patients based on the extended parallel process model(EPPM).Methods From March to November 2023,Based on a literature review and group discussions,developed a preliminary intervention program for gastric cancer screening behavior among first-degree relatives of gastric cancer patients using the Delphi expert consultation method involving 18 experts in two rounds of consultations to form the final version of the intervention program.Results Two rounds of expert consultations resulted in the construction of an intervention program consisting of two primary indicators,four secondary indicators,and twenty-seven tertiary indicators for screening.The authority coefficients were 0.822 and 0.884 respectively.Kendall's coefficient values from the two rounds were 0.176 and 0.373,with statistically significant differences(P<0.001).Conclusion The developed intervention program based on the Extended Parallel Process Theory is reliable and practical,providing a reference basis for interventions targeting gastric cancer screening behavior among first-degree relatives of gastric cancer patients.
关键词
胃癌/一级亲属/拓展平行过程/筛查行为/干预方案/德尔菲法Key words
gastric cancer/first-degree relatives/extended parallel process/screening behavior/intervention program/Delphi method引用本文复制引用
基金项目
四川省护理学会四川省基层护理专项科研课题(2022)(JH22005)
出版年
2024