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- Title
基于德尔菲法构建慢性心力衰竭病人居家 容量管理行为偏差评估工具.
- Authors
徐佳忆; 张慧超; 孙 兴; 陈 辰; 徐冬梅; 殷徐雯; 宋海燕; 周 媛; 顾则娟
- Abstract
Objective: To construct an assessment tool for capacity management behavioral discrepancy in patients with chronic heart failure at home. Method: Through literature review, semi⁃structured interview, group discussion and expert meeting, the first draft of assessment tool for capacity management behavioral discrepancy in patients with chronic heart failure at home was formed. Two rounds of expert consultation were conducted by Delphi method, and each item of the assessment tool was revised to form the final assessment tool. Results: The positive coefficients of the two rounds of expert consultation were 88. 00% and 90. 91%. The authority coefficients were 0. 891 and 0. 900. The Kendall's W coordination coefficients were 0. 108 and 0. 206, both P<0. 001. The resulting assessment tool had a total of 49 items in 8 dimensions, including basic information (6 items), limiting fluid intake (6 items), monitoring fluid output (6 items) limiting sodium intake (8 items), monitoring weight (8 items), monitoring symptoms and signs related to heart failure, blood pressure and heart rate (6 items), paying attention to medical indications (4 items), and timing of diuretic adjustment (5 items). Conclusion: The assessment tool for capacity management behavioral discrepancy in patients with chronic heart failure at home based on Delphi method is highly reliable, and can be used to investigate the status quo and influencing factors of capacity management behavioral discrepancy in patients with chronic heart failure at home, providing a reference for improving patients' out⁃of⁃hospital self⁃management ability, improving the status quo of volume management, and formulating intervention plans.
- Subjects
SELF-management (Psychology); FOOD consumption; RESEARCH methodology evaluation; INTERVIEWING; BODY weight; HEART failure; HOME environment; DESCRIPTIVE statistics; DIURETICS; EXPERIMENTAL design; DISCUSSION; REGULATION of body fluids; DIETARY sodium; HEART beat; RESEARCH methodology; WATER-electrolyte balance (Physiology); DELPHI method; PATIENT monitoring; BLOOD pressure; GROUP process; EVALUATION; SYMPTOMS
- Publication
Chinese Nursing Research, 2024, Vol 38, Issue 13, p2281
- ISSN
1009-6493
- Publication type
Article
- DOI
10.12102/j.issn.1009-6493.2024.13.005