应用德尔菲法编制国内COPD患者护理结局评定量表

摘要

目的：设计适合我国COPD患者护理结局评定量表，用于评价患者健康状况。方法：采用德尔菲法选取22名专家，涉及临床医学、临床护理、护理管理、医院管理和医学心理学5个领域，收集其对量表设计的建议和意见，确定量表的内容与结构。结果：通过2轮专家咨询形成专家一致性意见，2次专家咨询表回收率及有效率均为100%，总体权威系数为0.72。按照专家咨询意见，并结合COPD患者健康状况，在第1轮专家咨询后对4个领域的定义、4个维度的名称和1个条目进行修正，对2个条目进行删除；第2轮专家咨询后对1个条目进行修正，对1个条目进行删除，增加1个条目，初步形成了包含6个领域23个维度的量表。结论：应用德尔菲法从护理角度初步编制COPD量表，建立了一套适合COPD患者测评的护理结局指标体系，用于评价患者健康状况。%Objective:To development the rating scale suitable for nursing outcomes in domestic COPD patients, which is used to evaluate the health status of patients.Method:The Delphi method was used through recruiting 22 experts in the five areas of clinical medicine,clinical care,care management,hospital management and medical psychology.The common suggestions and opinions of experts for the design of scale were collected and the contents and structure of the scale were identified. Result:Expert opinion was unanimous through two-round meetings,which showed that the overall authority grade was 0.72 with the respond rate and the effective rate both of 100%.After the first-round meeting,combining patients’ health status,definition of the 4 areas,dimension of 4 names and 1 item were revised,2 items were deleted.1 item was revised,1 item was deleted and 1 item was increased after second-round meeting,then initially formed the scale of the 6 areas and 23 dimensions.Conclusion:Preliminary preparation of COPD scale in nursing angle by Delphi method is used to evaluate the health status of patients,which is suited for nursing outcomes system of COPD patients.