Reconstruction of health education program for elderly female patients with stress urinary incontinence based on Delphi method
GAO Yan1 YE Meng1 SHEN Xiaoping1 XU Fanglei2
1.School of Health Technology and Nursing, Shanghai Sibo Vocational and Technical College, Shanghai 201399, China;
2.Department of Nursing, Tongji Hospital of Tongji University, Shanghai 200065, China
Abstract:Objective To construct a health education program for elderly female patients with stress urinary incontinence by applying Delphi method. Methods Form July to December 2019, the literature research method was used by research team to draft the contents of the health education program for elderly women with stress urinary incontinence. A total of 11 specialists were selected from Changzheng Hospital Affiliated to Naval Military Medical University, Huadong Hospital affiliated to Fudan University, Shanghai General Hospital Affiliated to Shanghai Jiao Tong University, Tongji Hospital of Tongji University, People’s Hospital of Putuo District in Shanghai. Delphi method was used by specialists to construct a health education program for elderly women with stress urinary incontinence in two rounds. Results The return rate of the two rounds of expert consultation questionnaires was 100%, and the expert authority coefficient was 0.928. The plan was revised based on expert opinions, and 3 first-level items, 15 second-level items, and 61 third-level items were finally determined. Conclusion This research program is scientific and practical, and can provide theoretical guidance for clinical nurses to implement health education for elderly female patients with stress urinary incontinence.
高燕1 叶萌1 沈小平1 许方蕾2. 基于德尔菲法构建老年女性压力性尿失禁患者的健康教育方案[J]. 中国医药导报, 2021, 18(14): 164-168.
GAO Yan1 YE Meng1 SHEN Xiaoping1 XU Fanglei2. Reconstruction of health education program for elderly female patients with stress urinary incontinence based on Delphi method. 中国医药导报, 2021, 18(14): 164-168.
[1] Serati M,Ghezzi F. The epidemiology of urinary incontinence:a case still open [J]. Ann Transl Med,2016,4(6):123.
[2] Kohler M,Mayer H,Kesselring J,et al. (Can) Not talk about it - Urinary incontinence from the point of view of stroke survivors:a qualitative study [J]. Scand J Caring Sci,2018,32(1):371-379.
[3] Caliskan N,Gulnar E,Aydogan S,et al. Obstacles to Providing Urinary Incontinence Care Among Nurses in Turkey:A Descriptive Study [J]. Wound Manag Prev,2019, 65(9):36-47.
[4] National Institute for Health and Care Excellence. Urinary incontinence and pelvic organ prolapse in women:management [EB/OL]. https://www.nice.org.uk/guidance/ng123.
[5] National Institute for Health and Care Excellence. Urinary incontinence in women [EB/OL].[2019-07-29].https://www.nice.org.uk/guidance/qs77.
[6] Registered Nurses’ Association of Ontario. What can I do about urinary incontinence? [EB/OL].[2019-07-28].https://rnao.ca/bpg/resources/what-can-i-do-about-urinary-incontinence-decision-aid.
[7] Kobashi KC,Albo ME,Dmochowski RR,et al. Surgical Treatment of Female Stress Urinary Incontinence:AUA/SUFU Guideline [J]. J Urol,2017,198(4):875-883.
[8] Burkhard FC,Bosch JLHR,Cruz F,et al. EAU Guidelines on Urinary Incontinence in Adults [EB/OL]. [2019-07-18].http://uroweb.org /guideline /urinary-incontinence.
[9] O’Reilly N,Nelson HD,Conry JM,et al. Screening for Urinary Incontinence in Women:A Recommendation From the Women’s Preventive Services Initiative [J]. Ann Intern Med,2018,169(5):320-328.
[10] Bettez M,Tu LM,Carlson K,et al. 2012 update:guidelines for adult urinary incontinence collaborative consensus document for the canadian urological association [J]. Can Urol Assoc J,2012,6(5):354-363.
[11] Committee on Practice Bulletins—Gynecology and the American Urogynecologic Society. ACOG Practice Bulletin No. 155:Urinary Incontinence in Women [J]. Obstet Gynecol,2015,126(5):e66-e81.
[12] Qaseem A,Dallas P,Forciea MA,et al. Nonsurgical management of urinary incontinence in women:a clinical practice guideline from the American College of Physicians [J]. Ann Intern Med,2014,161(6):429-440.
[13] 中华医学会妇产科学分会妇科盆底学组.女性压力性尿失禁诊断和治疗指南(2017)[J].中华妇产科杂志,2017, 52(5):289-293.
[14] Brouwers MC,Kho ME,Browman GP,et al. AGREE Ⅱ:advancing guideline development,reporting and evaluation in health care [J]. CMAJ,2010,182(18):E839-E842.
[15] 谢利民,王文岳.《临床指南研究与评价系统Ⅱ》简介[J].中西医结合学报,2012,10(2):160-165.
[16] 胡俊峰.当代健康教育与健康促进[M].北京:人民卫生出版社,2005:761.
[17] 徐蔼婷.德尔菲法的应用及其难点[J].中国统计,2006(9):57-59.
[18] Chang AM,Gardner GE,Duffield C,et al. A Delphi study to validate an advanced practice nursing tool [J]. J Adv Nurs,2010,66(10):2320-2330.
[19] 成磊,胡雁.证据应用在循证护理实践的研究现状[J].护理学杂志,2016,31(3):101-105.
[20] 杨东霞,曲慧利,龙莎莎,等.基于德尔菲法构建乳腺专科护理质量敏感指标[J].中华现代护理杂志,2020,26(1):60-64.
[21] 刘玲,万青,米元元,等.成人2型糖尿病住院患者低血糖管理及预防的最佳证据总结[J].护士进修杂志,2019, 34(12):1089-1095.
[22] 王婷婷,顾海燕,高红.基于加速康复理念的膝关节置换患者术后康复锻炼最佳证据应用研究[J].中华现代护理杂志,2020,26(5):595-599.
[23] 许华娇,高静,李丽.循证护理在规范患者自行胰岛素笔注射中的运用[J].护士进修杂志,2015,30(11):1044-1046.
[24] Ostle Z. Assessment,diagnosis and treatment of urinary incontinence in women [J]. Br J Nurs,2016,25(2):84-91.
[25] 石亚春.基层医院妇科医务人员对尿失禁的认知调查与管理干预建议[J].中医药管理杂志,2017,25(17):26-27.
[26] Vasconcelos C,Firmiano M,Oria M,et al. Women’s knowledge, attitude and practice related to urinary incontinence:systematic review [J]. Int Urogynecol J,2019,30(2):171-180.