鼻咽癌放化疗患者健康教育效果评价指标体系的构建

doi:10.3761/j.issn.0254-1769.2022.08.008

摘要/Abstract

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

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. 鼻咽癌放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, 2022, 57(8): 942-949.

LU Jiamei, LI Wei, LIAO Jinlian, HUANG Xiaojun, HU Kai, TANG Qiuming, LIANG Limin, FENG Yan, YANG Guirong, YANG Li. Establishment of an evaluation index system for health education among nasopharyngeal carcinoma patients with radio-chemotherapy[J]. Chinese Journal of Nursing, 2022, 57(8): 942-949.

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