Abstract:

Objective To construct a health care seeking behavior guidance program for COPD patients,and to provide references for guiding COPD patients to seek medical treatment. Methods From December 2020 to May 2021,through literature review and expert group discussion,the first draft of the guidance program of health care seeking behavior for COPD patients was formulated,and the Delphi expert consultation method was used to conduct questionnaire consultations with 17 experts across the country to determine the content of the guidance program. Results There were 2 rounds of expert consultations. The effective recovery rate of the 2 rounds of the questionnaire was 100%;the expert authority coefficient was 0.89;Kendall harmony coefficient was 0.173 and 0.248 （P<0.001）,respectively. The mean feasibility values of each item ranged from 4.06 to 4.94,and the coefficient of variation ranged from 0.05 to 0.19. The final program included 31 specific situations,including 10 symptom guidance parts,12 medication guidance parts,and 9 follow-up guidance parts. Conclusion The guidance program of health care seeking behavior for COPD patients was scientific and reliable,which can provide a basis for guiding COPD patients to seek medical treatment.

Key words: Chronic Obstructive Pulmonary Disease, Health Care Seeking Behavior, Delphi Technique, Nursing Care

摘要：

目的 构建COPD患者就医行为指导方案,为指导COPD患者正确就医提供参考。 方法 2020年12月—2021年5月,采用文献回顾、专家小组讨论制订COPD患者就医行为指导方案初稿,17名专家进行2轮德尔菲函询,确定COPD患者就医行为指导方案的内容。 结果 共进行2轮函询,2轮问卷有效回收率均为100%,专家权威系数为0.89,肯德尔和谐系数分别为0.173、0.248（P<0.001）。各条目的可行性赋值均数为4.06~4.94,变异系数为0.05~0.19。最终形成的方案包括31个情境,其中症状指导模块10个,药物指导模块12个,随访指导模块9个。 结论 COPD患者就医行为指导方案具有较强的科学性、可靠性,可为指导COPD患者就医提供依据。

关键词: 慢性阻塞性肺疾病, 就医行为, 德尔菲技术, 护理