CAJ | 학술논문

目的：通过分析和筛选最有助于提高儿童 ADHD 服药依从性的核心信息，为进一步提高服药依从性及今后此类疾病的健康教育干预提供相关理论依据。方法应用德尔菲法，通过详细考察及精心挑选，邀请来自北京、上海、广州、成都的29名儿科、儿童精神科、儿童心理科等科室的资深专家，开展2轮专家咨询，筛选核心信息。结果对2轮德尔菲咨询专家的积极程度、权威程度系数、变异系数、协调系数等数据进行统计分析。其中，专家的积极程度为：第一轮：100％，第二轮：96．56％。专家的权威程度系数分别为：第一轮：0．75，第二轮：0．75。变异系数均小于0．25。评价指标重要性的专家协调系数分别为：第一轮：0．11，第二轮：0．20。通过2轮专家咨询，确定4项一级指标，16项二级指标。结论所筛选的核心信息合理，能全面、客观地衡量影响服药依从性的相关因素，为今后开展此类疾病的健康教育奠定了坚实基础。
목적：통과분석화사선최유조우제고인동 ADHD 복약의종성적핵심신식，위진일보제고복약의종성급금후차류질병적건강교육간예제공상관이론의거。방법응용덕이비법，통과상세고찰급정심도선，요청래자북경、상해、엄주、성도적29명인과、인동정신과、인동심이과등과실적자심전가，개전2륜전가자순，사선핵심신식。결과대2륜덕이비자순전가적적겁정도、권위정도계수、변이계수、협조계수등수거진행통계분석。기중，전가적적겁정도위：제일륜：100％，제이륜：96．56％。전가적권위정도계수분별위：제일륜：0．75，제이륜：0．75。변이계수균소우0．25。평개지표중요성적전가협조계수분별위：제일륜：0．11，제이륜：0．20。통과2륜전가자순，학정4항일급지표，16항이급지표。결론소사선적핵심신식합리，능전면、객관지형량영향복약의종성적상관인소，위금후개전차류질병적건강교육전정료견실기출。
Objective To analyze core information for improving medication adherence among children with atten-tion deficit hyperactivity disorder,and find theoretical basis for further improvement and health education intervention. Methods With detailed investigation and careful selection,29 experts from Beijing,Shanghai,Guangzhou and Chengdu in pediatrics,child psychiatry and psychology of general practice were invited for two-round Delphi questionnaire consulta-tion.Results According to statistical analysis,the expert levels of positive coefficient were 100% and 96.56%.The au-thority coefficient were 0.75 and 0.75.And then,the variation coefficient of two-round consultation was less than 0.25.The coordination coefficients for the importance of the indicators were 0.11 and 0.20.Finally,the indicator system was estab-lished,which consisted of 4 first-level and 16 second-level indicators.Conclusion The selection was reasonable,which can systematically and objectively evaluate related factors of medication adherence.Moreover,it will be a solid foundation for health education of ADHD.