目的 构建基于IKAP（Information-Knowledge-Attitude-Practice,IKAP）理论的造口患者自我管理手册指标体系。方法 以IKAP理论为框架,结合文献回顾和半结构式访谈形成初稿,采用德尔菲法对20名专家进行2轮咨询优化指标。结果 2轮专家函询回收率分别为90.9%、100%,权威系数为0.920、0.915,肯德尔和谐系数为0.125、0.149（P<0.001）。最终形成4项一级、16项二级、63项三级指标。结论 本研究构建的指标体系科学、系统,具有较强的专业性与实用性,可为造口患者自我管理及护理同质化提供参考。
Abstract
Objective To construct an indicator system for the self-management manual of patients living with ostomy based on the Information-Knowledge-Attitude-Practice (IKAP) theory. Methods Guided by IKAP theory, an initial draft was developed through literature review and semi-structured interviews. Delphi method was employed to conduct two rounds of expert consultation with 20 specialists to optimize the indicators. Results The response rates for the two rounds of consultation were 90.9% and 100% , respectively. The authority coefficients were 0.920 and 0.915,and Kendall’s coefficients of concordance 0.125 and 0.149, respectively (P<0.001). The final system consisted of 4 first-level, 16 secondary-level, and 63 third-level indicators. Conclusion The constructed indicator system is scientific and systematic, with strong specialty relevance and practicality. It provides reference for the self-management of patients living with ostomy and the standardization of nursing practices.
关键词
造口护理 /
自我管理手册 /
IKAP理论
Key words
ostomy /
self-management manual /
Information-Knowledge-Attitude-Practice Theory
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基金
湖北省武汉市护理学会2022年度科研项目（WHHL202213）
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