经皮肾穿刺钬激光碎石术患者健康教育评价标准的构建与应用
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摘要
目的构建经皮肾穿刺钬激光碎石术健康教育评价标准(下称健康教育评价标准),提供护理健康教育指引及质量检测工具。方法应用德尔菲法,对17名专家进行3轮问卷咨询,构建健康教育评价标准;对65例经皮肾穿刺钬激光碎石术患者(观察组)以健康教育评价标准作为指引进行健康教育和质量评价,与采用常规健康教育的56例患者(对照组)进行效果比较。结果健康教育评价标准包括一级指标3项、二级指标26项;观察组疾病知识知晓率和遵医率显著高于对照组(P<0.05,P<0.01)。结论健康教育评价标准的构建与应用有利于提高健康教育效果。
Objective To build health education evaluation criteria for patients receiving holmium laser percutaneous nephrolithotomy,and to provide a guiding and quality testing tool for clinical health education.Methods We employed the Delphi method to consult 17 experts for 3 rounds and built health education evaluation criteria for patients receiving holmium laser percutaneous nephrolithotomy based on the consultation.Then the criteria were used as a reference and quality testing tool while nurses provided health education to 65 patients(the observation group) receiving holmium laser percutaneous nephrolithotomy.Another 56 patients(the control group) were given conventional health education without nurses′ referencing the criteria.Results The health education evaluation criteria included 3 first level indicators and 26 second level indicators.The health education effect and satisfaction in the observation group were significantly better and higher than those of the control group(P<0.05,P<0.01).Conclusion Construction of health education evaluation criteria for patients improves health education effect.
Objective To build health education evaluation criteria for patients receiving holmium laser percutaneous nephrolithotomy,and to provide a guiding and quality testing tool for clinical health education.Methods We employed the Delphi method to consult 17 experts for 3 rounds and built health education evaluation criteria for patients receiving holmium laser percutaneous nephrolithotomy based on the consultation.Then the criteria were used as a reference and quality testing tool while nurses provided health education to 65 patients(the observation group) receiving holmium laser percutaneous nephrolithotomy.Another 56 patients(the control group) were given conventional health education without nurses′ referencing the criteria.Results The health education evaluation criteria included 3 first level indicators and 26 second level indicators.The health education effect and satisfaction in the observation group were significantly better and higher than those of the control group(P<0.05,P<0.01).Conclusion Construction of health education evaluation criteria for patients improves health education effect.
引文
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[2]邓丽金,陈锦秀.我国健康教育效果评价的现状与发展趋势[J].护理管理杂志,2008,8(1):23-27.
[3]曹文瑞.医学科技人才评价指标体系及综合评价方法研究[D].广州:南方医科大学,2007.
[4]李东文,杨晓媛,王红梅,等.以德尔菲法构建护理人员灾害救护核心能力的研究[J].护理学杂志,2010,25(18):11-13.
[5]杨小平,秦柳花,王惠珍,等.Delphi法确立临床护理专家的资格认证方法[J].现代护理,2005,11(6):411-415.
[6]卫生部专科护理领域护士培训大纲[J].中国护理管理,2007,7(7):4.
[7]张玲娟.三级甲等医院内科及专科等级护理实际成本及标准成本研究[D].上海:第二军医大学,2004.
[8]黄敬亨.健康教育学[M].上海:上海医科大学出版社,1997:212.
[9]Bezold C.The future of patient-centered care:scenarios,visions and audacious goals[J].J Altern ComplementMed,2004,11(sl):s77-84.
[10]马金秀,陈运香.家庭强化教育对农村糖尿病患者治疗依从性的影响[J].护理学杂志,2009,24(17):80-81.
[11]廖礼奎,周立.医疗服务满意度调查中存在的问题分析[J].医学与哲学,2006,27(2):29-30.
[12]陈念湄,李武甲,孙艳平,等.注重护理人员服务质量调查的导向作用[J].中华护理杂志,2001,36(9):691.
[13]Hopkins J E,Loeb S J,Fick D M.Beyond salisfaction,what service users expect of inpatient mental health care:a literature review[J].J Paychiatr Ment health Nurs,2009,16(10):927-937.
[14]黄菲菲,赵秋利,韩垣烨.Delphi法在建立成年人健康自我管理能力测评指标体系中的应用[J].中国护理管理,2011,3(11):26-30.