CAJ | 학술논문

目的基于多元文化护理理论构建针对不同文化背景的急性心肌梗死(AMI)出院患者健康教育的内容,指导护士选取符合每位患者文化背景的教育内容以制定个性化健康教育计划及处方.方法采用自行设计的健康教育三级核心内容条目框架咨询表,选取三级甲等医院工作15年、副高职称、本科学历及以上的护理、心血管内科医疗及社会科学领域的专家共20名,进行德尔菲(Delphi)法的专家咨询,定量分析健康教育内容各级条目.结果专家咨询的权威系数为0.865,熟悉系数为0.840,判断系数为0.890;各级条目的和谐系数分别为0.425,0.443,0.408,卡方检验显示差异均有统计学意义(P＜0.01),经过两轮专家咨询后确定的健康教育核心内容条目数是:一级条目11条,二级条目42条,三级条目126条.结论 AMI出院患者健康教育内容各级条目专家意见集中,研究结果可信度高,为医护人员对不同文化背景的AMI出院患者进行有效的健康教育,提供了科学的依据.
목적 기우다원문화호리이론구건침대불동문화배경적급성심기경사(AMI)출원환자건강교육적내용,지도호사선취부합매위환자문화배경적교육내용이제정개성화건강교육계화급처방.방법 채용자행설계적건강교육삼급핵심내용조목광가자순표,선취삼급갑등의원공작15년、부고직칭、본과학력급이상적호리、심혈관내과의료급사회과학영역적전가공20명,진행덕이비(Delphi)법적전가자순,정량분석건강교육내용각급조목.결과 전가자순적권위계수위0.865,숙실계수위0.840,판단계수위0.890;각급조목적화해계수분별위0.425,0.443,0.408,잡방검험현시차이균유통계학의의(P＜0.01),경과량륜전가자순후학정적건강교육핵심내용조목수시:일급조목11조,이급조목42조,삼급조목126조.결론 AMI출원환자건강교육내용각급조목전가의견집중,연구결과가신도고,위의호인원대불동문화배경적AMI출원환자진행유효적건강교육,제공료과학적의거.
Objective To construct the content of health education based on transcultural nursing in discharged patients who were acute myocardial infarction (AMI) and had different cultural backgrounds,and to instruct the nurses to choose and formulate the individual health education program and prescription according to patients' cultural background.Methods Twenty experts who worked in tertiary A hospitals for 15 years,had secondary senior positions,were bachelor degree or above in nursing,cardiovascular and social science were chosen and received the expert consultation of Delphi method through the self-designed framework consulting table with three-level core content of the health education.The items on the content of health education at every level were quantitatively analyzed.Results The Cr was 0.865,and the Cs was 0.840,and the Ca was 0.890.The kandall coefficients of concordace at every level were respectively 0.425,0.443,0.408,and chi-square test showed that the difference was statistically significant (P ＜ 0.01).The number of items on the core content of health education through two rounds of expert consultation was determined including 11 items Grade Ⅰ,42items Grade Ⅱ and 126 items Grade Ⅲ.Conclusions The expert opinion of items on the content of health education in discharged patients with AMI at every level is intensive,and the reliabihty of the result is high,and which provides the scientific basis for carrying out effective health education in discharged patients who are AMI and have different cultural backgrounds.