CAJ | 학술논문

目的：构建封闭式负压引流(vacuum sealing drainage,VSD)治疗爆炸伤缺损创面患者健康教育评价标准。方法通过文献资料法、理论分析法、质性研究法及德尔菲(Delphi)专家咨询法,根据健康信念模式“知、信、行”三级目标理论模式,拟订VSD治疗爆炸伤缺损创面患者健康教育评价标准。结果专家咨询的权威程度系数为0．81,判断系数为0．88,熟悉系数为0．74；最终确定 VSD治疗爆炸伤缺损创面患者健康教育评价标准包括 I级指标3条、Ⅱ级指标30条,I级、Ⅱ级指标的协调系数分别为0．991、0．476,协调系数比较,差异有统计学意义(P＜0．01)。结论应用 Delphi 法构建的健康教育评价标准可为临床护士开展 VSD治疗爆炸伤缺损创面患者健康教育并评价实施效果提供参考依据。
목적：구건봉폐식부압인류(vacuum sealing drainage,VSD)치료폭작상결손창면환자건강교육평개표준。방법통과문헌자료법、이론분석법、질성연구법급덕이비(Delphi)전가자순법,근거건강신념모식“지、신、행”삼급목표이론모식,의정VSD치료폭작상결손창면환자건강교육평개표준。결과전가자순적권위정도계수위0．81,판단계수위0．88,숙실계수위0．74；최종학정 VSD치료폭작상결손창면환자건강교육평개표준포괄 I급지표3조、Ⅱ급지표30조,I급、Ⅱ급지표적협조계수분별위0．991、0．476,협조계수비교,차이유통계학의의(P＜0．01)。결론응용 Delphi 법구건적건강교육평개표준가위림상호사개전 VSD치료폭작상결손창면환자건강교육병평개실시효과제공삼고의거。
Objective To construct health education evaluation criteria of patients with blast injury wounds underwent VSD treatment.Methods Through literature,theoretical analysis,qualitative research method and Delphi(Delphi)expert consultation,according to the health belief model,“knowledge,believing,action”three goals theoretical model,to formulate the health education evaluation criteria for patients with blast injury wounds underwent VSD treatment.Results Authoritative expert advice coefficient was 0.81 degree, determination coefficient was 0.88,the familiar coefficient was 0.74;ultimately determine the urinary osto-my patient health education evaluation criteria include indicators of three Class Ⅰ,Class Ⅱ indicators 30,Ⅰ-level,grade Ⅱ indicators coordination coefficients were 0.991,0.476(P<0.01).Conclusion The use of Delphi method to construct health education evaluation criteria provides the reference for clinical nurses to carry out health guidance for patients with blast inj ury wound underwent VSD treatment and evaluate the application effect.