主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (10): 1493-1499.doi: 10.3969/j.issn.1672-1756.2023.10.011

• 论著 • 上一篇    下一篇

2型糖尿病患者自我管理支持强化阶段干预方案的构建

邢树平 李斌 李明子 秦娜 何昭好 周文杰 蒋新军   

  1. 海南医学院国际护理学院,571199 海口市(邢树平,秦娜,何昭好,蒋新军);海南省人民医院内分泌科(邢树平);护理部(李斌);手术室(何昭好);北京大学护理学院(李明子);海南医学院第一附属医院肾内科(周文杰)
  • 出版日期:2023-10-15 发布日期:2023-10-15
  • 通讯作者: 蒋新军,博士,副研究员,E-mail:Jxinjun@163.com
  • 作者简介:邢树平,硕士
  • 基金资助:
    海南省自然科学基金(820RC631);海南省科协青年科技英才创新计划项目(QCXM202019);海南省科学技术厅2022年省重点研发项目(ZDYF2022SHFZ102)

Construction of a self-management support intensive phase intervention programs for Type 2 Diabetes Mellitus patients

XING Shuping, LI Bin, LI Mingzi, QIN Na, HE Zhaohao, ZHOU Wenjie, JIANG Xinjun   

  1. International Nursing School, Hainan Medical University, Haikou, 571199, China
  • Online:2023-10-15 Published:2023-10-15
  • Contact: E-mail:Jxinjun@163.com

摘要: 目的:构建2型糖尿病患者自我管理支持强化阶段的干预方案,为糖尿病管理者及教育者提供参考依据。方法:基于文献回顾、结合项目组前期研究结果及社会认知理论,初步形成2型糖尿病患者自我管理支持强化期干预方案。通过德尔菲法进行2轮专家函询,最终确定干预方案。结果:2轮专家函询问卷有效回收率分别为100.0%和92.9%,权威系数分别为0.882和0.885,2轮专家的肯德尔协调系数分别为0.149和0.175(P<0.05);变异系数分别为0.09~0.23和0~0.15。最终干预方案包括3个干预时机(整体糖尿病患者自我管理支持干预方案的第3、6、9个月),3个干预主题(行为强化、行为维持、情绪管理),3个干预总目标,9个干预分目标,21条干预内容。结论:糖尿病患者自我管理支持强化阶段干预方案具有必要性、合理性、可靠性、权威性及科学性,可为糖尿病患者的自我管理支持提供参考,对指导临床护理工作具有重要意义。

关键词: 2型糖尿病;结构化教育;自我管理支持;德尔菲法

Abstract: Objective: To construct a self-management support intensive phase intervention programs for Type 2 Diabetes Mellitus patients, and to provide a reference for health management and education of diabetes. Methods: Based on the literature review, the previous studies conducted by the project team and social cognitive theory, a preliminary self-management support intensive phase intervention programs for Type 2 Diabetes Mellitus patients was developed. A total of 13 experts were invited to participate in a two-round Delphi consultation to finalize the program. Results: The effective recovery rate of the two Delphi expert consultations were 100.0% and 92.9%, respectively, with the authority coefficient being 0.882 and 0.885, the Kendall coordination coefficients being 0.149 and 0.175 (P<0.05) and the coefficient of variation ranging from 0.09 to 0.23 and 0 to 0.15, respectively. The final intervention program consisted of 21 items of intervention contents concerning 3 intervention time points (the third, sixth and ninth month of structured education), 3 themes including behavior reinforcement, behavior maintenance, and emotion management, 3 general goals and 9 sub-goals for intervention. Conclusion: The diabetes self-management support intensive phase intervention programs constructed in this study is necessary, reasonable, reliable, authoritative and scientific, which can provide a reference for self-management support for diabetes patients and is of great significance for guiding clinical nursing work.

Key words: Type 2 Diabetes Mellitus; structured education; self-management support; Delphi method

中图分类号:  R47;R197