中华护理杂志 ›› 2022, Vol. 57 ›› Issue (8): 942-949.DOI: 10.3761/j.issn.0254-1769.2022.08.008

• 专科实践与研究 • 上一篇    下一篇

鼻咽癌放化疗患者健康教育效果评价指标体系的构建

卢佳美(), 李维, 廖金莲, 黄晓君, 胡凯, 汤秋明, 梁丽敏, 冯燕, 杨桂荣, 杨丽()   

  1. 530021 南宁市 广西医科大学第一附属医院放疗科(卢佳美,李维,廖金莲,黄晓君,胡凯,汤秋明,梁丽敏,冯燕,杨桂荣),护理部(杨丽)
  • 收稿日期:2021-08-03 出版日期:2022-04-20 发布日期:2022-04-06
  • 通讯作者: 杨丽,E-mail: 1194052159@qq.com
  • 作者简介:卢佳美:女,硕士,副主任护师,E-mail: 485323475@qq.com
  • 基金资助:
    广西高校中青年教师科研基础能力提升项目(2021KY0126);2021年广西医科大学第一附属医院自设科研培育项目(YYZS2021-006)

Establishment of an evaluation index system for health education among nasopharyngeal carcinoma patients with radio-chemotherapy

LU Jiamei(), LI Wei, LIAO Jinlian, HUANG Xiaojun, HU Kai, TANG Qiuming, LIANG Limin, FENG Yan, YANG Guirong, YANG Li()   

  • Received:2021-08-03 Online:2022-04-20 Published:2022-04-06

摘要:

目的 构建鼻咽癌放化疗患者健康教育效果评价指标体系,为护理工作者评价鼻咽癌放化疗患者健康教育效果,开展针对性的健康教育与指导工作提供理论依据。 方法 2021年3月—7月,组建多学科研究团队,以知信行理论为基础,通过文献检索、半结构式访谈法、德尔菲专家函询法及层次分析法,确定鼻咽癌放化疗患者健康教育效果评价指标体系及各指标权重。 结果 2轮函询的有效问卷回收率分别为85.0%和100%,专家权威程度系数分别为0.932、0.935;2轮函询各级指标的肯德尔和谐系数分别为0.235~0.326、0.302~0.419(P<0.01)。最终构建包括3个一级指标、19个二级指标和73个三级指标的鼻咽癌放化疗患者健康教育效果评价指标体系。 结论 该研究构建的鼻咽癌放化疗患者健康教育效果评价指标体系,可为临床护理人员进行全面、高效的健康教育效果评价提供统一参考。

关键词: 鼻咽癌, 放化疗, 健康教育, 效果评价指标, 护理管理研究

Abstract:

Objective We aimed to establish an evaluation index system for health education among patients with nasopharyngeal carcinoma(NPC) who are undergoing radio-chemotherapy. As a theoretical basis,this system may be applied by the clinical nurses to carry out targeted health education and guidance among NPC patients undergoing radio-chemotherapy and to evaluate the effect of health education. Methods From March to July 2021,we constituted a structured multidisciplinary research team,including oncologists,nurse specialists,nutritionists,et al,based on the theory of Knowledge-Belief-Practice. Literature review,semi-structured interviews,as well as the Delphi method and Multi-dimensional Analytic Hierarchy Process,were used to establish a framework of the evaluation index system and set weighted value for each evaluation index. Results The response rates of the 2 rounds of expert consultations are 85.0% and 100%.The expert authority coefficients are 0.932 and 0.935,respectively.The total Kendall harmony coefficients of the 2 rounds of expert consultations are 0.235~0.326 and 0.302~0.419(P<0.01).As a result,we built up an evaluation index system of health education which comprised 3 first-level indexes,19 second-level indexes and 73 third-level indexes for NPC patients undergoing radio-chemotherapy. Conclusion The evaluation index system may provide evidence and a practice tool for clinical nurses in conducting a comprehensive and efficient evaluation of health education among NPC patients undergoing radio-chemotherapy.

Key words: Nasopharyngeal Carcinoma, Radio-Chemotherapy, Health Education, Effect Evaluation Indicators, Nursing Administration Research