中华皮肤科杂志 ›› 2022, Vol. 55 ›› Issue (6): 516-518.doi: 10.35541/cjd.20201120

• 研究报道 • 上一篇    下一篇

基于德尔菲法构建天疱疮健康教育核心内容体系

王妍妍    王小菊    王玉环    顾天明    丁嘉烁   

  1. 中国医学科学院、北京协和医学院皮肤病医院皮肤科,南京  210042
  • 收稿日期:2020-11-23 修回日期:2021-08-06 发布日期:2022-06-02
  • 通讯作者: 王妍妍 E-mail:wyy20000@163.com
  • 基金资助:
    中央高校基本科研业务费专项资金资助(3332019106)

Identification of core contents of health education for patients with pemphigus by using the Delphi method

Wang Yanyan, Wang Xiaoju, Wang Yuhuan, Gu Tianming, Ding Jiashuo   

  1. Department of Dermatology, Hospital of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China
  • Received:2020-11-23 Revised:2021-08-06 Published:2022-06-02
  • Contact: Wang Yanyan E-mail:wyy20000@163.com
  • Supported by:
    Fundamental Research Funds for the Central Universities(3332019106)

摘要: 【摘要】 目的 利用德尔菲法构建科学合理的天疱疮健康教育核心内容体系。方法 在文献分析、小组讨论的基础上,采用德尔菲专家咨询法,由17名专家对拟定的天疱疮患者健康教育内容条目进行两轮问卷调查,对条目的重要性进行评分。计算各指标重要性赋值评分、变异系数、权威系数和肯德尔和谐系数,构建天疱疮健康教育核心内容。结果 两轮专家咨询的问卷均全部有效回收,两轮专家咨询各指标变异系数均小于0.35,专家权威系数为0.893,肯德尔和谐系数分别为0.283(χ2 = 168.17,P < 0.001)和0.288(χ2 = 181.25,P < 0.001)。经过2轮专家咨询,最终确立包含6项一级条目(包括“疾病知识”“用药指导”“饮食指导”“皮损护理”“休息,活动与心理指导”和“复诊与就医指导”)、32项二级条目的天疱疮患者健康教育核心内容体系。结论 基于德尔菲法成功构建天疱疮健康教育核心内容体系,为天疱疮健康教育内容的系统化、科学化提供依据。

关键词: 天疱疮, 健康教育, 德尔菲技术, 核心内容

Abstract: 【Abstract】 Objective To identify core contents of health education for patients with pemphigus by using the Delphi method. Methods On the basis of literature review and group discussions, two rounds of questionnaire survey were performed in 17 experts to evaluate the importance of health education items for patients with pemphigus by using the Delphi method. Indices including importance score, coefficient of variation, authority coefficient and Kendall coefficient of concordance were calculated to identify core contents of health education for patients with pemphigus. Results In the two rounds of questionnaire surveys, all experts complete the questionnaires, the coefficients of variation were all less than 0.35, the authority coefficient was 0.893, and the Kendall coefficients of concordance were 0.283 and 0.288 respectively (χ2 = 168.17, 181.25, respectively, both P < 0.001). After the two rounds of expert consultation, the core contents of health education for patients with pemphigus were finally confirmed, which consisted of 6 primary items and 32 secondary items, and the primary items included "disease knowledge", "medication guidance", " dietary guidance", "skin care", "rest, activities and psychological guidance" and " follow-up and medical guidance". Conclusion By using the Delphi method, the core contents of health education have been successfully identified for patients with pemphigus, which provide a basis for systematization and scientization of health education contents for patients with pemphigus.

Key words: Pemphigus, Health education, Delphi technique, Core content