基于德尔菲法构建慢性心力衰竭病人居家容量管理行为偏差评估工具

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基金项目 江苏省研究生实践创新项目，编号：SJCX23_0822；江苏省医学创新团队基金资助项目，编号：CXTDA2017019

作者简介 徐佳忆，硕士研究生在读

通讯作者 顾则娟，E⁃mail：jassicagu@163.com

引用信息 徐佳忆，张慧超，孙兴，等.基于德尔菲法构建慢性心力衰竭病人居家容量管理行为偏差评估工具[J].护理研究，2024，38（13）：2281⁃2287.

Construction of assessment tool for capacity management behavioral discrepancy at home in patients with chronic heart failure based on Delphi method

XU Jiayi， ZHANG Huichao， SUN Xing， CHEN Chen， XU Dongmei， YIN Xuwen， SONG Haiyan， ZHOU Yuan， GU Zejuan

School of Nursing， Nanjing University of Chinese Medicine， Jiangsu 210023 China

Corresponding Author  GU Zejuan， E⁃mail： jassicagu@163.com

Abstract  Objective：To construct an assessment tool for capacity management behavioral discrepancy in patients with chronic heart failure at home.Method：Through literature review，semi⁃structured interview， group discussion and expert meeting，the first draft of assessment tool for capacity management behavioral discrepancy in patients with chronic heart failure at home was formed.Two rounds of expert consultation were conducted by Delphi method，and each item of the assessment tool was revised to form the final assessment tool.Results：The positive coefficients of the two rounds of expert consultation were 88.00% and 90.91%.The authority coefficients were 0.891 and 0.900. The Kendall's W coordination coefficients were 0.108 and 0.206，both P<0.001.The resulting assessment tool had a total of 49 items in 8 dimensions， including basic information （6 items），limiting fluid intake （6 items），monitoring fluid output （6 items） limiting sodium intake （8 items）， monitoring weight （8 items），monitoring symptoms and signs related to heart failure， blood pressure and heart rate （6 items）， paying attention to medical indications （4 items），and timing of diuretic adjustment （5 items）.Conclusion：The assessment tool for capacity management behavioral discrepancy in patients with chronic heart failure at home based on Delphi method is highly reliable，and can be used to investigate the status quo and influencing factors of capacity management behavioral discrepancy in patients with chronic heart failure at home， providing a reference for improving patients' out⁃of⁃hospital self⁃management ability， improving the status quo of volume management， and formulating intervention plans.

Keywords    chronic heart failure； capacity management； behavioral bias； continuing care； Delphi method

摘要  目的：构建慢性心力衰竭病人居家容量管理行为偏差评估工具。（剩余14555字）