消渴病中医护理方案效果评价体系的构建

Construction of evaluation system for effect of nursing program of traditional Chinese medicine for diabetes

  • 摘要:
    目的 构建消渴病中医护理方案评价体系, 观察护理人员同质化评价中医临床护理的实施效果。
    方法 在文献检索、回顾性调查的基础上拟定评价体系的各级指标,运用Delphi法对各级指标进行评价。
    结果 Delphi法第1轮函询中专家有效回复率为100.0%, 第2轮有效回复率为92.3%。第1轮函询专家权威程度为0.79, 第2轮函询为0.80。2轮专家的协调系数为0.31~0.41, 提示专家意见协调性好。各级指标协调系数比较差异有统计学意义(P < 0.05)。本研究最终确立了含4个一级指标、12个二级指标、21个三级指标的消渴病中医护理方案效果评价体系。
    结论 整个评价体系的构建过程满足科学性要求,各项指标符合设计要求,内容合理,易于临床对消渴病中医护理方案实施效果进行客观评价。

     

    Abstract:
    Objective To construct the evaluation system for effect of nursing program of traditional Chinese medicine(TCM)for diabetes, and to observe the homogenization of nurses to evaluate the effect of TCM clinical nursing.
    Methods On the basis of literature search and retrospective investigation, the indicators at all levels of the evaluation system were drawn up. Delphi method was used to evaluate the indexes at all levels.
    Results The effective response rate of experts in the first round of the Delphi method was 100.0%, and the effective response rate in the second round was 92.3%.The authoritative degree of experts in the first round of correspondence was 0.79, and the second round of correspondence was 0.80.The coordination coefficient of indicators at all levels ranged from 0.31 to 0.41, showing that the expert opinions were well coordinated. There were statistically significant differences in the coordination coefficient of indicators at all levels (P < 0.05). Finally, a evaluation system for TCM nursing program effect for diabetes mellitus with 4 first-level indicators, 12 second-level indicators, and 21 third-level indicators was established.
    Conclusion The construction process of the entire evaluation system meets the scientific requirements, the indicators meet the design requirements, the content is reasonable, and it is easy to objectively evaluate the implementation effect of the TCM nursing plan for diabetes in clinic.

     

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