关键词: 妊娠期糖尿病, 健康素养, 评价指标, 德尔菲法, 产科护理

Abstract:

Objective We aimed to establish an evaluation index system for health literacy among gestational diabetes mellitus（GDM） patients. As a theoretical basis，this system can be applied by the clinical nurses to carry out targeted health guidance among GDM patients and to evaluate health literacy level. Methods Initial indexes were generated through the literature review and semi-structured interviews. 2 rounds of expert consultations and analytic hierarchy process were conducted to establish the evaluation index for health literacy among GDM patients. The convenience sampling method was used to select 15 GDM patients and 15 obstetric medical staff members from a tertiary A hospital in Qingdao as the research subjects in March 2022，and the application effect of the constructed evaluation index system was preliminarily verified by semi-structured interviews. Results The response rates of the 2 rounds of expert consultations are 100% and 94.74%. The expert authority coefficients are 0.924 and 0.942，respectively. The Kendall harmony coefficients of the 2 rounds of expert consultations are 0.123~0.154 and 0.312~0.327（P<0.01）. As a result，we built up an evaluation index system of health literacy which comprised 7 first-level indexes，49 second-level indexes for GDM patients. 86.7% of GDM patients thought that the content of index system was clear，easy to understand，and instructive for daily self-management. 100% of obstetric medical staff were satisfied with the index system，and thought that the content was comprehensive，professional，with applicability and necessity of application. Conclusion The evaluation index system for health literacy among GDM patients is reasonable，scientific and reliable. The index content is specialized and specific，in line with the physical and psychological characteristics of GDM patients.

Key words: Gestational Diabetes Mellitus, Health Literacy, Evaluation Index, Delphi Method, Obstetrical Nursing