基于信息化平台的糖尿病患者自我管理质量评价指标体系的构建

目的构建基于信息化平台的糖尿病患者自我管理质量评价指标体系,为开展依托信息化平台的糖尿病管理提供借鉴。方法2018年8—11月,在文献回顾和专家会议法的基础上拟定指标体系初稿,通过德尔菲法对28名从事糖尿病诊疗、糖尿病护理、慢病管理、护理管理、护理教育等方面的专家进行2轮函询并构建最终指标体系。计算专家的积极性、权威性,专家意见的一致性、协调性。结果2轮专家函询问卷的有效回收率分别为93.33%和100.00%,专家权威系数分别为0.911和0.945。第2轮专家函询中,一、二、三级指标的肯德尔协调系数分别为0.478、0.478和0.537(P<0.01),变异系数均<0.25。最终构建的基于信息化平台的糖尿病患者自我管理质量评价指标体系包含3项一级指标、9项二级指标和69项三级指标。结论基于信息化平台的糖尿病患者自我管理质量评价指标构建过程严谨科学,指标内容比较合理、可靠性好,可为完善以信息化平台为支撑的糖尿病患者自我管理干预内容、提升糖尿病综合管理质量提供一定参考。

Construction of evaluation index system of self-management quality for diabetic patients based on information platform

Objective To construct the evaluation index system of self-management quality for diabetic patients based on the information platform,so as to provide a reference for the development of diabetes management based on the information platform.Methods From August to November 2018,the first draft of the index system was drawn up on the basis of literature review and expert meeting method.Through the Delphi method,two rounds of inquiries were conducted among 28 experts engaged in diabetes diagnosis and treatment,diabetes care,chronic disease management,nursing management,nursing education and so on,and the final index system was constructed.The activity and authority of experts,the consistency and coordination of experts'opinions were calculated.Results The effective recovery rates of two rounds of consultation were 93.33%and 100.00%,and the expert authority coefficients were 0.911 and 0.945,respectively.In the second round of expert inquiry,the Kendall coordination coefficients of the first-level,second-level,and third-level indicators were 0.478,0.478 and 0.537 respectively with statistical differences(P<0.01),and the coefficient of variation was all<0.25.The final evaluation index system of self-management quality for diabetic patients based on the information platform included 3 first-level indicators,9 second-level indicators and 69 third-level indicators.Conclusions The construction process of the evaluation index system of self-management quality for diabetic patients based on information platform is rigorous and scientific,and the indicator content is reasonable and reliable.It can provide a reference for perfecting the content of self-management intervention for diabetic patients supported by the information platform and improving the quality of comprehensive diabetes management.