2型糖尿病合并骨质疏松患者护理干预方案的构建

doi:10.3761/j.issn.0254-1769.2021.03.011

摘要/Abstract

摘要：

目的构建2型糖尿病合并骨质疏松患者护理干预方案,为中老年2型糖尿病合并骨质疏松患者提供系统、规范的护理干预措施。方法通过查阅文献、回顾案例,拟订干预方案初稿,选取15名专家,进行2轮德尔菲专家咨询,按照专家咨询意见,结合临床实践,对条目进行修改。结果 15名专家经过2轮咨询后意见趋于一致,专家权威系数为0.862,2轮咨询指标的重要性和可行性肯德尔和谐系数分别为0.369、0.396和0.428、0.415,差异具有统计学意义（P<0.001）。构建的干预方案包括营养干预、运动干预、疾病相关知识宣教、用药指导、疼痛护理、心理社会干预6个一级条目,19个二级条目,59个三级条目。结论该研究构建的中老年2型糖尿病合并骨质疏松患者护理干预方案具有可靠性、科学性、实用性,对指导临床护理工作具有重要意义。

关键词: 2型糖尿病, 骨质疏松, 德尔菲技术, 中老年, 护理

Abstract:

Objective To construct a feasible,systematic and standardized nursing intervention system for patients with type 2 diabetes and osteoporosis,and to provide relevant evidence. Methods The preliminary intervention system was drafted by searching literature on the basis of relevant guidelines and case reviews,and the Delphi method was adopted to finalize the system in accordance with expert advice and clinical experience. Results Totally 15 experts were enrolled,and the opinions of all experts tended to be consistent after 2 rounds of consultation. The expert authority coefficient was 0.862,and the importance and feasibility of Kendall's coordination coefficients were 0.369,0.396 and 0.428,0.415 in the 2 rounds respectively（P<0.001）. The content included 6 sections for first-level indicator,namely nutrition intervention,exercise intervention,disease-related knowledge education,medication guidance,pain nursing intervention,and psychosocial intervention;it also contained 19 second-level indicators,and 59 third-level indicators. Conclusion The content of nursing intervention system is scientific,reliable,practical and pertinent,and is of great significance for clinical nursing practice.

Key words: Type 2 Diabetes, Osteoporosis, Delphi Technique, Middle-Aged and Elderly, Nursing Care

郭善萍, 段功香, 陈长蓉, 刘春香, 闫苗苗, 黄竹瑛. 2型糖尿病合并骨质疏松患者护理干预方案的构建[J]. 中华护理杂志, 2021, 56(3): 381-386.

GUO Shanping, DUAN Gongxiang, CHEN Changrong, LIU Chunxiang, YAN Miaomiao, HUANG Zhuying. Construction of nursing intervention system for patients with type 2 diabetes and osteoporosis[J]. Chinese Journal of Nursing, 2021, 56(3): 381-386.

图/表 4

Table 1 General information of experts（n=15）

Table 2 Results of the second round of expert consultation

Continued table 2 Results of the second round of expert consultation

Table 3 Kendall��s W and significance test results of 2 rounds of expert consultation

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