以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (24): 22-25.doi: 10.16460/j.issn1008-9969.2021.24.022

• 护理管理 • 上一篇    下一篇

人工心脏瓣膜置换患者决策辅助内容的构建

成忠莎, 柏晓玲, 谢贵华, 张永春, 易一乐, 韦清, 杨曾桢   

  1. 贵州省人民医院,贵州 贵阳 550002
  • 收稿日期:2021-03-25 出版日期:2021-12-25 发布日期:2022-01-11
  • 通讯作者: 柏晓玲（1977-）,女,四川达川人,博士,主任护师,副院长。E-mail:baixiaoling2003@163.com
  • 作者简介:成忠莎（1983-）,女,贵州晴隆人,硕士,主管护师。
  • 基金资助:
    贵州省护理学会2019年度立项科研课题（GZHLKY 201909）

Construction of Decision Aids for Patients with Cardio Valve Replacement

CHENG Zhong-sha, BAI Xiao-lin, XIE Gui-hua, ZHANG Yong-chun, YI Yi-le, WEI Qing, YANG Zeng-zhen   

  1. Guizhou Provincial Hospital, Guiyang 550002, China
  • Received:2021-03-25 Online:2021-12-25 Published:2022-01-11

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摘要： 目的 构建人工心脏瓣膜置换患者决策辅助内容。方法 依据患者决策辅助国际标准,结合课题前期研究结果,初步拟定人工心脏瓣膜置换患者决策辅助内容,经2轮专家咨询最终确立人工心脏瓣膜置换患者决策辅助内容。结果 2轮专家咨询问卷回收率分别为 95%、95%,专家的权威系数分别为0.947和0.944,肯德尔和谐系数分别为0.11和0.12,重要性赋值均数分别为4.05~4.95分和3.50~4.85分,最终形成了包含“人工心脏瓣膜相关信息、“决策依据”、“决策前测评”3个一级条目,13个二级条目,46个三级条目的人工心脏瓣膜置换患者决策辅助内容。结论 人工心脏瓣膜置换患者决策辅助内容可靠、合理,为帮助人工心脏瓣膜置换患者走出决策困境,促进医患共享决策提供参考依据。

关键词: 人工心脏瓣膜, 决策辅助, 共享决策, 德尔菲法

Abstract: Objective To develop a decision aid (DA) for patients undergoing cardio valve replacement in prosthetic valve selection. Methods According to International Patient Decision Aid Standards (IPDAS) and previous study, we formulated the draft of DA, and then the final version of DA was formed after 2-round expert consultation. Results Expert positive coefficient of two-round expert consultation was 95% and 95% respectively; authority coefficient of two-round expert consultation 0.947 and 0.944 respectively and coordination coefficient was 0.11 and 0.12 respectively. Mean value of importance ranged from 4.05 to 4.95 and from 3.50 to 4.85 respectively. The final OA consisted of 3 first-level items, including "information related to prosthetic valve", "the basis of decision" and "pre-decision evaluation", 13 second-level and 46 third-level items. Conclusion The DA for patients with cardio valve replacement is reliable and reasonable, which provides reference for helping patients in prosthetic valve selection and promoting doctor-patient sharing decision making.

Key words: prosthetic valve, decision aid, sharing decision making, Delphi technique

中图分类号: 

  • R473.6
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