Chinese Journal of Nursing ›› 2019, Vol. 54 ›› Issue (10): 1482-1487.DOI: 10.3761/j.issn.0254-1769.2019.10.007
• Special Planning-Hematologic Disease Nursing • Previous Articles Next Articles
LUO Ruzhen,XIE Wenjun,LIU Yudian,ZHANG Xiaohong,LIU Yanhui()
Received:
2018-11-02
Online:
2019-10-15
Published:
2019-10-30
Contact:
Yanhui LIU
通讯作者:
刘彦慧
作者简介:
罗如珍:女,硕士(博士在读),护士,E-mail: 基金资助:
LUO Ruzhen, XIE Wenjun, LIU Yudian, ZHANG Xiaohong, LIU Yanhui. Development of evaluation index system for health education among adult acute leukemia patients with chemotherapy[J]. Chinese Journal of Nursing, 2019, 54(10): 1482-1487.
罗如珍, 解文君, 刘玉典, 张晓红, 刘彦慧. 成年急性白血病化疗患者健康教育效果评价指标体系的构建[J]. 中华护理杂志, 2019, 54(10): 1482-1487.
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项目 | 指标数 | 肯德尔和谐系数 | χ2值 | 自由度 | P 值 |
---|---|---|---|---|---|
一级指标 | 3 | 0.325 | 10.400 | 2 | 0.006 |
二级指标 | 16 | 0.272 | 65.327 | 15 | <0.001 |
三级指标 | 83 | 0.265 | 368.794 | 82 | <0.001 |
项目 | 指标数 | 肯德尔和谐系数 | χ2值 | 自由度 | P 值 |
---|---|---|---|---|---|
一级指标 | 3 | 0.325 | 10.400 | 2 | 0.006 |
二级指标 | 16 | 0.272 | 65.327 | 15 | <0.001 |
三级指标 | 83 | 0.265 | 368.794 | 82 | <0.001 |
项目 | 指标数 | 肯德尔和谐系数 | χ2值 | 自由度 | P 值 |
---|---|---|---|---|---|
一级指标 | 3 | 0.410 | 12.286 | 2 | 0.002 |
二级指标 | 16 | 0.301 | 67.642 | 15 | <0.001 |
三级指标 | 65 | 0.325 | 340.906 | 64 | <0.001 |
项目 | 指标数 | 肯德尔和谐系数 | χ2值 | 自由度 | P 值 |
---|---|---|---|---|---|
一级指标 | 3 | 0.410 | 12.286 | 2 | 0.002 |
二级指标 | 16 | 0.301 | 67.642 | 15 | <0.001 |
三级指标 | 65 | 0.325 | 340.906 | 64 | <0.001 |
一级指标 | 重要性赋值 (分,${ \overline {x} \pm s}$) | 变异 系数 | 权重 | 最大 特征根 | 一致性系数 |
---|---|---|---|---|---|
健康知识 | 4.933±0.258 | 0.052 | 0.528 | 3.054 | 0.052 |
健康信念 | 4.468±0.516 | 0.115 | 0.140 | ||
健康行为 | 4.867±0.352 | 0.072 | 0.333 |
一级指标 | 重要性赋值 (分,${ \overline {x} \pm s}$) | 变异 系数 | 权重 | 最大 特征根 | 一致性系数 |
---|---|---|---|---|---|
健康知识 | 4.933±0.258 | 0.052 | 0.528 | 3.054 | 0.052 |
健康信念 | 4.468±0.516 | 0.115 | 0.140 | ||
健康行为 | 4.867±0.352 | 0.072 | 0.333 |
二级指标 | 重要性赋值 (分,${ \overline {x} \pm s}$) | 变异 系数 | 权重 | 组合 权重 | 最大 特征根 | 一致性 系数 |
---|---|---|---|---|---|---|
1-1疾病知识 | 4.533±0.516 | 0.114 | 0.102 | 0.054 | 7.133 | 0.016 |
1-2化疗知识 | 4.667±0.488 | 0.105 | 0.170 | 0.090 | ||
1-3辅助检查知识 | 3.533±0.516 | 0.146 | 0.028 | 0.015 | ||
1-4静脉输血知识 | 4.533±0.516 | 0.114 | 0.102 | 0.054 | ||
1-5深静脉置管知识 | 4.733±0.458 | 0.097 | 0.260 | 0.137 | ||
1-6用药知识 | 4.667±0.488 | 0.105 | 0.170 | 0.090 | ||
1-7生活护理知识 | 4.667±0.488 | 0.105 | 0.170 | 0.090 | ||
2-1认知 | 4.400±0.507 | 0.115 | 0.140 | 0.020 | 3.054 | 0.052 |
2-2健康动机 | 4.667±0.488 | 0.105 | 0.333 | 0.047 | ||
2-3自我效能 | 4.800±0.414 | 0.086 | 0.528 | 0.074 | ||
3-1症状管理 | 4.867±0.352 | 0.072 | 0.284 | 0.095 | ||
3-2压力应对 | 4.667±0.617 | 0.132 | 0.112 | 0.037 | ||
3-3治疗依从性 | 4.800±0.414 | 0.086 | 0.129 | 0.043 | 6.436 | 0.069 |
3-4营养 | 4.733±0.458 | 0.097 | 0.173 | 0.058 | ||
3-5休息与活动 | 4.533±0.640 | 0.141 | 0.109 | 0.036 | ||
3-6心理社会适应 | 4.800±0.414 | 0.086 | 0.102 | 0.054 |
二级指标 | 重要性赋值 (分,${ \overline {x} \pm s}$) | 变异 系数 | 权重 | 组合 权重 | 最大 特征根 | 一致性 系数 |
---|---|---|---|---|---|---|
1-1疾病知识 | 4.533±0.516 | 0.114 | 0.102 | 0.054 | 7.133 | 0.016 |
1-2化疗知识 | 4.667±0.488 | 0.105 | 0.170 | 0.090 | ||
1-3辅助检查知识 | 3.533±0.516 | 0.146 | 0.028 | 0.015 | ||
1-4静脉输血知识 | 4.533±0.516 | 0.114 | 0.102 | 0.054 | ||
1-5深静脉置管知识 | 4.733±0.458 | 0.097 | 0.260 | 0.137 | ||
1-6用药知识 | 4.667±0.488 | 0.105 | 0.170 | 0.090 | ||
1-7生活护理知识 | 4.667±0.488 | 0.105 | 0.170 | 0.090 | ||
2-1认知 | 4.400±0.507 | 0.115 | 0.140 | 0.020 | 3.054 | 0.052 |
2-2健康动机 | 4.667±0.488 | 0.105 | 0.333 | 0.047 | ||
2-3自我效能 | 4.800±0.414 | 0.086 | 0.528 | 0.074 | ||
3-1症状管理 | 4.867±0.352 | 0.072 | 0.284 | 0.095 | ||
3-2压力应对 | 4.667±0.617 | 0.132 | 0.112 | 0.037 | ||
3-3治疗依从性 | 4.800±0.414 | 0.086 | 0.129 | 0.043 | 6.436 | 0.069 |
3-4营养 | 4.733±0.458 | 0.097 | 0.173 | 0.058 | ||
3-5休息与活动 | 4.533±0.640 | 0.141 | 0.109 | 0.036 | ||
3-6心理社会适应 | 4.800±0.414 | 0.086 | 0.102 | 0.054 |
三级指标 | 重要性赋值(分,${ \overline {x} \pm s}$) | 变异系数 | 权重 | 组合权重 | 最大特征根 | 一致性系数 |
---|---|---|---|---|---|---|
1-7-1急性白血病患者化疗期间营养需求 | 4.800±0.414 | 0.086 | 0.185 | 0.017 | 6.136 | 0.022 |
1-7-2化疗期间饮食注意事项 | 4.867±0.352 | 0.072 | 0.300 | 0.044 | ||
1-7-3皮肤黏膜(口腔、肛周等)护理知识 | 4.400±0.737 | 0.168 | 0.063 | 0.006 | ||
1-7-4消毒隔离知识 | 4.800±0.561 | 0.117 | 0.185 | 0.017 | ||
1-7-5安全防护知识 | 4.800±0.414 | 0.086 | 0.185 | 0.017 | ||
1-7-6休息与活动知识 | 4.533±0.834 | 0.184 | 0.083 | 0.006 | ||
2-1-1正确认识化疗的作用 | 4.333±0.488 | 0.113 | 0.259 | 0.005 | 5.127 | 0.028 |
2-1-2正确认识急性白血病进展 | 4.133±0.915 | 0.221 | 0.167 | 0.003 | ||
2-1-3正确认识急性白血病预后 | 4.000±0.655 | 0.164 | 0.108 | 0.002 | ||
2-1-4正确认识急性白血病对生活方式的影响 | 3.867±0.915 | 0.237 | 0.071 | 0.001 | ||
2-1-5正确认识行为改变对疾病治疗的益处 | 4.467±0.640 | 0.143 | 0.395 | 0.008 | ||
2-2-1有寻求帮助的意愿 | 4.800±0.414 | 0.086 | 0.201 | 0.009 | 4.081 | 0.030 |
2-2-2早期识别急性白血病症状 | 4.467±0.834 | 0.187 | 0.087 | 0.004 | ||
2-2-3对治疗及护理有信心 | 4.800±0.561 | 0.117 | 0.428 | 0.020 | ||
2-2-4有信心和毅力采取健康行为 | 4.933±0.258 | 0.052 | 0.284 | 0.013 | ||
2-3-1愿意表达自我感受 | 4.267±0.884 | 0.207 | 0.163 | 0.012 | 3.010 | 0.009 |
2-3-2提高自我护理责任感 | 4.533±0.640 | 0.141 | 0.540 | 0.040 | ||
2-3-3知晓坚持健康生活方式的重要性 | 4.467±0.640 | 0.143 | 0.297 | 0.022 | ||
3-1-1胃肠道症状(恶心、呕吐、食欲不振等)管理 | 4.933±0.258 | 0.052 | 0.251 | 0.024 | 8.255 | 0.026 |
3-1-2心理不适症状(悲伤、焦虑、烦躁等)管理 | 4.800±0.414 | 0.086 | 0.156 | 0.015 | ||
3-1-3头部相关症状(头痛、眩晕等)管理 | 4.600±0.507 | 0.110 | 0.080 | 0.008 | ||
3-1-4自我形象受损(脱发、色素沉着等)管理 | 4.800±0.414 | 0.086 | 0.156 | 0.015 | ||
3-1-5皮肤黏膜症状(皮肤瘙痒、口腔溃疡等)管理 | 4.667±0.617 | 0.132 | 0.099 | 0.009 | ||
3-1-6造血系统毒性反应(白细胞和血小板下降等)管理 | 5.000 | 0.000 | 0.166 | 0.016 | ||
3-1-7疼痛管理 | 4.467±0.640 | 0.143 | 0.062 | 0.006 | ||
3-1-8疲劳管理 | 3.933±0.799 | 0.203 | 0.028 | 0.003 | ||
3-2-1合理控制情绪 | 4.733±0.594 | 0.126 | 0.429 | 0.016 | 3.000 | <0.001 |
3-2-2正确管理压力 | 4.733±0.594 | 0.126 | 0.429 | 0.016 | ||
3-2-3心态平和 | 4.267±0.594 | 0.139 | 0.143 | 0.005 | ||
3-3-1遵医嘱治疗 | 4.800±0.414 | 0.086 | 0.558 | 0.024 | 3.018 | 0.018 |
3-3-2认真维护静脉导管 | 4.533±0.640 | 0.141 | 0.320 | 0.014 | ||
3-3-3坚持定期复查 | 4.267±0.704 | 0.165 | 0.122 | 0.005 | ||
3-4-1健康饮食习惯 | 4.600±0.632 | 0.137 | 0.196 | 0.011 | 3.054 | 0.052 |
3-4-2合理肠内营养 | 4.667±0.488 | 0.105 | 0.311 | 0.018 | ||
3-4-3合理肠外营养 | 4.800±0.414 | 0.086 | 0.493 | 0.029 | ||
3-5-1保证充足休息和睡眠 | 4.733±0.594 | 0.126 | 0.661 | 0.024 | 3.054 | 0.052 |
3-5-2按计划有步骤地活动 | 4.200±0.775 | 0.185 | 0.208 | 0.007 | ||
3-5-3活动时注意保护自身安全 | 4.067±0.704 | 0.173 | 0.131 | 0.005 | ||
3-6-1主动向医务人员诉说身体状况 | 4.067±0.799 | 0.196 | 0.088 | 0.006 | 5.179 | 0.040 |
3-6-2积极与医务人员讨论疾病治疗与康复 | 4.333±0.900 | 0.208 | 0.170 | 0.011 | ||
3-6-3学会获取正确的专业知识和专业帮助 | 3.867±0.743 | 0.192 | 0.060 | 0.004 | ||
3-6-4主动要求心理辅导 | 4.733±0.458 | 0.097 | 0.447 | 0.029 | ||
3-6-5积极适应社会生活 | 4.467±0.743 | 0.166 | 0.237 | 0.015 |
三级指标 | 重要性赋值(分,${ \overline {x} \pm s}$) | 变异系数 | 权重 | 组合权重 | 最大特征根 | 一致性系数 |
---|---|---|---|---|---|---|
1-7-1急性白血病患者化疗期间营养需求 | 4.800±0.414 | 0.086 | 0.185 | 0.017 | 6.136 | 0.022 |
1-7-2化疗期间饮食注意事项 | 4.867±0.352 | 0.072 | 0.300 | 0.044 | ||
1-7-3皮肤黏膜(口腔、肛周等)护理知识 | 4.400±0.737 | 0.168 | 0.063 | 0.006 | ||
1-7-4消毒隔离知识 | 4.800±0.561 | 0.117 | 0.185 | 0.017 | ||
1-7-5安全防护知识 | 4.800±0.414 | 0.086 | 0.185 | 0.017 | ||
1-7-6休息与活动知识 | 4.533±0.834 | 0.184 | 0.083 | 0.006 | ||
2-1-1正确认识化疗的作用 | 4.333±0.488 | 0.113 | 0.259 | 0.005 | 5.127 | 0.028 |
2-1-2正确认识急性白血病进展 | 4.133±0.915 | 0.221 | 0.167 | 0.003 | ||
2-1-3正确认识急性白血病预后 | 4.000±0.655 | 0.164 | 0.108 | 0.002 | ||
2-1-4正确认识急性白血病对生活方式的影响 | 3.867±0.915 | 0.237 | 0.071 | 0.001 | ||
2-1-5正确认识行为改变对疾病治疗的益处 | 4.467±0.640 | 0.143 | 0.395 | 0.008 | ||
2-2-1有寻求帮助的意愿 | 4.800±0.414 | 0.086 | 0.201 | 0.009 | 4.081 | 0.030 |
2-2-2早期识别急性白血病症状 | 4.467±0.834 | 0.187 | 0.087 | 0.004 | ||
2-2-3对治疗及护理有信心 | 4.800±0.561 | 0.117 | 0.428 | 0.020 | ||
2-2-4有信心和毅力采取健康行为 | 4.933±0.258 | 0.052 | 0.284 | 0.013 | ||
2-3-1愿意表达自我感受 | 4.267±0.884 | 0.207 | 0.163 | 0.012 | 3.010 | 0.009 |
2-3-2提高自我护理责任感 | 4.533±0.640 | 0.141 | 0.540 | 0.040 | ||
2-3-3知晓坚持健康生活方式的重要性 | 4.467±0.640 | 0.143 | 0.297 | 0.022 | ||
3-1-1胃肠道症状(恶心、呕吐、食欲不振等)管理 | 4.933±0.258 | 0.052 | 0.251 | 0.024 | 8.255 | 0.026 |
3-1-2心理不适症状(悲伤、焦虑、烦躁等)管理 | 4.800±0.414 | 0.086 | 0.156 | 0.015 | ||
3-1-3头部相关症状(头痛、眩晕等)管理 | 4.600±0.507 | 0.110 | 0.080 | 0.008 | ||
3-1-4自我形象受损(脱发、色素沉着等)管理 | 4.800±0.414 | 0.086 | 0.156 | 0.015 | ||
3-1-5皮肤黏膜症状(皮肤瘙痒、口腔溃疡等)管理 | 4.667±0.617 | 0.132 | 0.099 | 0.009 | ||
3-1-6造血系统毒性反应(白细胞和血小板下降等)管理 | 5.000 | 0.000 | 0.166 | 0.016 | ||
3-1-7疼痛管理 | 4.467±0.640 | 0.143 | 0.062 | 0.006 | ||
3-1-8疲劳管理 | 3.933±0.799 | 0.203 | 0.028 | 0.003 | ||
3-2-1合理控制情绪 | 4.733±0.594 | 0.126 | 0.429 | 0.016 | 3.000 | <0.001 |
3-2-2正确管理压力 | 4.733±0.594 | 0.126 | 0.429 | 0.016 | ||
3-2-3心态平和 | 4.267±0.594 | 0.139 | 0.143 | 0.005 | ||
3-3-1遵医嘱治疗 | 4.800±0.414 | 0.086 | 0.558 | 0.024 | 3.018 | 0.018 |
3-3-2认真维护静脉导管 | 4.533±0.640 | 0.141 | 0.320 | 0.014 | ||
3-3-3坚持定期复查 | 4.267±0.704 | 0.165 | 0.122 | 0.005 | ||
3-4-1健康饮食习惯 | 4.600±0.632 | 0.137 | 0.196 | 0.011 | 3.054 | 0.052 |
3-4-2合理肠内营养 | 4.667±0.488 | 0.105 | 0.311 | 0.018 | ||
3-4-3合理肠外营养 | 4.800±0.414 | 0.086 | 0.493 | 0.029 | ||
3-5-1保证充足休息和睡眠 | 4.733±0.594 | 0.126 | 0.661 | 0.024 | 3.054 | 0.052 |
3-5-2按计划有步骤地活动 | 4.200±0.775 | 0.185 | 0.208 | 0.007 | ||
3-5-3活动时注意保护自身安全 | 4.067±0.704 | 0.173 | 0.131 | 0.005 | ||
3-6-1主动向医务人员诉说身体状况 | 4.067±0.799 | 0.196 | 0.088 | 0.006 | 5.179 | 0.040 |
3-6-2积极与医务人员讨论疾病治疗与康复 | 4.333±0.900 | 0.208 | 0.170 | 0.011 | ||
3-6-3学会获取正确的专业知识和专业帮助 | 3.867±0.743 | 0.192 | 0.060 | 0.004 | ||
3-6-4主动要求心理辅导 | 4.733±0.458 | 0.097 | 0.447 | 0.029 | ||
3-6-5积极适应社会生活 | 4.467±0.743 | 0.166 | 0.237 | 0.015 |
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