| 牛聪影,王丽丽,袁娟,杨杰.肝豆状核变性患者护理问题评估表的构建[J].济宁医学院学报,2025,48(3):203-207 |
| 肝豆状核变性患者护理问题评估表的构建 |
| A study on the construction of nursing problem assessment form for the care of patients with hepatolenticular degeneration |
| 投稿时间：2022-11-22 |
| DOI：10.3969/j.issn.1000-9760.2025.03.003 |
| 中文关键词: 肝豆状核变性;奥马哈问题分类系统;护理问题;德尔菲法;评估;构建 |
| 英文关键词: Hepatolenticular degeneration;Omaha problem classification system;Nursing problem;Delphi method;Assess;Construct |
| 基金项目:2021年安徽中医药大学科学研究基金项目(2021zryb03) |
| 作者 | 单位 | E-mail | | 牛聪影 | 安徽中医药大学护理学院, 合肥 230031 | | | 王丽丽 | 安徽中医药大学护理学院, 合肥 230031 | | | 袁娟 | 安徽中医药大学护理学院, 合肥 230031 | 619296258@qq.com | | 杨杰 | 安徽中医药大学护理学院, 合肥 230031 | |
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| 中文摘要: |
| 目的 构建肝豆状核变性(hepatolenticular degeneration,HLD)患者的护理问题评估表,为护理人员有效地识别HLD患者的护理问题提供评估工具。方法 在文献回顾、病历分析及德尔菲函询的基础上,结合奥马哈问题分类系统,归纳HLD患者的护理问题。结果 HLD患者的护理问题评估内容包括4个一级指标、23个二级指标和49个三级指标。函询问卷回收率分别为89%、100%;专家权威系数0.897;两轮函询后,第二轮函询的Kendall's W (一、二、三级指标的Kendall's W分别为0.276、0.229、0.24)高于第一轮(一、二、三级指标的Kendall's W分别为0.271、0.194、0.218),专家意见逐渐趋于一致。结论 本研究构建HLD患者的护理问题评估表具有一定的参考价值,可为临床护理人员有效识别HLD患者的护理问题,科学合理地制定护理措施提供参考,进而提高其生活质量。 |
| 英文摘要: |
| Objective To construct an assessment form for nursing problems of patients with hepatolenticular degeneration(HLD) providing an assessment tool for caregivers to effectively identify nursing problems.Methods On the basis of literature review,medical record analysis and Delphi correspondence,combined with the classification system of Omaha problems,the nursing problems of patients with HLD were summarized.Results The assessment of nursing problems in patients with HLD includes 4 primary indicators,23 secondary indicators and 49 tertiary indicators.The recovery rate of the questionnaire was 89% and 100% respectively;The expert authority coefficient is 0.897;After two rounds of inquiry,the Kendall's W in the second round (Kendall's W for the first-,second-,and third-level indicators were 0.276,0.229,and 0.24,respectively) was higher than that in the first round (Kendall's W for the first-,second-,and third-level indicators were 0.271,0.194,and 0.218,respectively),indicating that the opinions of the experts were gradually becoming more consistent.Conclusion The nursing problem evaluation form of HLD patients constructed in this study has certain reference value,which can provide reference for clinical nursing staff to effectively identify the nursing problems of HLD patients and formulate nursing measures scientifically and reasonably,so as to improve their quality of life. |
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