关键词: 以家庭为中心；1型糖尿病；儿童；个案管理；德尔菲法

Abstract: Objective: To construct a family-centered case management program for children with type 1 diabetes. Methods: Based on literature reviews and clinical investigation, a draft of the family-centered case management program for children with type 1 diabetes was developed with self-management theory and Omaha effectiveness evaluation system as a reference. Then 19 experts from 6 regions in China were selected to join in the two rounds of Delphi expert letter consultation and conduct statistical analysis and screening of indicators at all levels. The credibility of expert consultation results was analyzed by calculating the positive coefficient, authority coefficient and coordination coefficient of experts. Results: The effective recovery rates of the two rounds of expert correspondence questionnaire were respectively 95.0% and 100.0% with the authoritative coefficient being 0.89 and 0.87, and the Kendall's W values were all statistically significant (P<0.001). The concentration of various indicators was relatively high. Finally, the family-centered case management program for children with type 1 diabetes was obtained, including the family-centered case management working process and evaluation indicators which were consisted by 5 first-level ones, 14 second-level ones and 34 third-level ones. Conclusion: The family-centered case management program for children with type 1 diabetes is of significant credibility and feasibility, which can provide guidance and references for the nursing of children with type 1 diabetes.

Key words: family-centered care; type 1 diabetes; children; case management; Delphi method