[1]赵春,王小姣,马玉,等.神经源性膀胱患者远程居家照护方案的构建与可行性评价[J].军事护理,2022,39(11):57-61.[doi:10.3969/j.issn.2097-1826.2022.11.015]
　ZHAO Chun,WANG Xiaojiao,MA Yu,et al.Construction and Feasibility Evaluation of a Tele-Homecare Program for Patients with Neurogenic Bladder[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(11):57-61.[doi:10.3969/j.issn.2097-1826.2022.11.015]
点击复制

神经源性膀胱患者远程居家照护方案的构建与可行性评价
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年11期
页码:
57-61
栏目:
论著
出版日期:
2022-11-15

文章信息/Info

Title:
Construction and Feasibility Evaluation of a Tele-Homecare Program for Patients with Neurogenic Bladder
文章编号:
2097-1826(2022)11-0057-05
作者:
赵春1; 2; 王小姣1; 2; 马玉3; 梁素瑞1; 陈玲1; 李珏1; 2; 胡英杰4; 蔡文智1; 2
(1.南方医科大学深圳医院 护理部，广东 深圳 518101; 2.南方医科大学 护理学院，广东 广州 510515; 3.南方医科大学深圳医院 康复医学科; 4.南方医科大学深圳医院 中医科)
Author(s):
ZHAO Chun1; 2; WANG Xiaojiao1; 2; MA Yu3; LIANG Surui1; CHEN Ling1; LI Jue1; 2; HU Yingjie4; CAI Wenzhi1; 2
(1.Department of Nursing,Shenzhen Hospital,Southern Medical University,Shenzhen 518101,Guangdong Province,China; 2.School of Nursing,Southern Medical University,Guangzhou 510515,Guangdong Province,China; 3.Department of Rehabilitation Medicine,Shenzhen Hospital,Southern Medical University; 4.Department of Traditional Chinese Medicine,Shenzhen Hospital,Southern Medical University)
关键词:
神经源性膀胱;  远程医疗;  居家照护;  德尔菲法
Keywords:
neurogenic bladder;  telemedicine;  home care;  Delphi technique
分类号:
R473.2
DOI:
10.3969/j.issn.2097-1826.2022.11.015
文献标志码:
A
摘要:
目的 构建神经源性膀胱(neurogenic bladder，NGB)患者远程居家照护方案并搭载至微信平台，验证该方案的可行性。方法 以英国医学研究理事会复杂干预设计框架为指导，通过文献回顾、理论分析、小组讨论、德尔菲法拟定远程居家照护方案并将其搭载至微信平台。便利抽样法选取14名NGB患者对平台进行为期2周的远程可用性测试。结果 构建的远程居家照护方案包括4项一级指标、13项二级指标、70项三级指标，2轮专家咨询的回收率分别为100%和94.12%，专家权威系数为0.90，肯德尔和谐系数分别为0.33和0.38(均P<0.01)。平台可用性测试总体评价为(4.15±0.47)分，其中有用性评分为(4.05±0.32)分、信息质量评分为(4.33±0.38)分、界面质量评分为(4.20±0.41)分。结论 远程居家照护方案科学、可靠、可行，平台可用性良好，能为开展NGB患者远程居家照护提供依据。
Abstract:
Objective To construct a tele-homecare program for patients with neurogenic bladder(NGB), and embed the program in the wechat platform to verify its feasibility.Methods With the guidance of the British Medical Research Council's design framework for complex interventions, literature review, theoretical analysis, group discussion and Delphi method were used to develop the tele-homecare program.The program was then embedded in the wechat platform.Convenient sampling was used to select 14 NGB patients for a 2-week remote feasibility test of the platform.Results The tele-homecare program included 4 first-level indicators, 13 second-level indicators and 70 third-level indicators.The responding rates in the two rounds of expert consultation were 100% and 94.12%, respectively; the authority coefficient of experts was 0.90; the Kendall's concordance coefficients were 0.33 and 0.38(both P<0.01), respectively.The total score of platform usability test were(4.15±0.47), with usefulness score of(4.05±0.32), information quality score of(4.33±0.38), and interface quality score of(4.20±0.41).Conclusions The tele-homecare program is scientific, reliable and feasible, and the platform shows good usability, which can provide references for conducting tele-homecare for NGB patients.

参考文献/References:

[1] 史文博,廖利民,万里,等.膀胱变形指数评估神经源性膀胱上尿路损害的初探[J].中国实验诊断学,2015,19(8):1304-1306.
[2] NSEYO U,SANTIAGO-LASTRA Y.Long-term complications of the neurogenic bladder[J].Urol Clin North Am,2017,44(3):355-366.
[3] BLOK B,CASTRO-DIAZ D,DEL POPOLO J,et al.EAU guidelines on neuro-urology:European association of urology[EB/OL].[2022-03-25].https://uroweb.org/guideline/neuro-urology/.
[4] 何英,张妙媛,彭敏,等.神经源性膀胱病人自我管理研究进展[J].全科护理,2019,17(23):2828-2831.
[5] LIANG H Y,LIN L H,CHANG C Y,et al.Effectiveness of a nurse-led tele-homecare program for patients with multiple chronic illnesses and a high risk for readmission:a randomized controlled trial[J].J Nurs Scholarsh,2021,53(2):161-170.
[6] LEMELIN A,GODBOUT A,PARE G,et al.Improved glycemic control through the use of a telehomecare program in patients with diabetes treated with insulin[J].Diabetes Technol Ther,2020,22(4):243-248.
[7] CAMPBELL N C,MURRAY E,DARBYSHIRE J,et al.Designing and evaluating complex interventions to improve health care[J].BMJ,2007,334(7591):455-459.
[8] RIEGEL B,JAARSMA T,LEE C S,et al.Integrating symptoms into the middle-range theory of self-care of chronic illness[J].ANS Adv Nurs Sci,2019,42(3):206-215.
[9] NEUMAN B.The Neuman systems model in research and practice[J].Nurs Sci Q,1996,9(2):67-70.
[10]LEWIS J R.IBM computer usability satisfaction questionnaires:psychometric evaluation and instructions for use[J].Int J Hum Comput Interact,1995,7(1):57-78.
[11]WHITENECK G,GASSAWAY J,DIJKERS M,et al.The SCIRehab project:treatment time spent in SCI rehabilitation.inpatient treatment time across disciplines in spinal cord injury rehabilitation[J].J Spinal Cord Med,2011,34(2):133-148.
[12]HURI E,HAMID R.Technology-based management of neurourology patients in the COVID-19 pandemic:is this the future?A report from the International Continence Society(ICS)institute[J].Neurourol Urodyn,2020,39(6):1885-1888.
[13]NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE.Urinary incontinence in neurological disease:assessment and management[EB/OL].[2022-03-25].https://www.nice.org.uk/guidance/cg148.
[14]周美玲,张荀芳,何炼英,等.卒中后患者神经源性膀胱管理的最佳证据总结[J].解放军护理杂志,2021,38(5):67-70.
[15]蔡文智,孟玲,李秀云.神经源性膀胱护理实践指南(2017年版)[J].护理学杂志,2017,32(24):1-7.

相似文献/References:

[1]赵冰燕,刘洋,杨慧锋,等.远程心脏康复对慢性心力衰竭患者康复效果的Meta分析[J].军事护理,2023,40(12):99.[doi:10.3969/j.issn.2097-1826.2023.12.025]
　ZHAO Bingyan,LIU Yang,YANG Huifeng,et al.Meta-analysis of Effects of Telerehabilitation on the Patients with Chronic Heart Failure[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(11):99.[doi:10.3969/j.issn.2097-1826.2023.12.025]

备注/Memo

备注/Memo:
【 收稿日期 】 2022-03-30 【 修回日期 】 2022-09-25
【 基金项目 】 深圳市科技计划项目(JCYJ20210324142406016)
【 作者简介 】 赵春，硕士在读，护士，从事神经源性膀胱移动健康管理研究
【 通信作者 】 蔡文智，电话:0755-23360006
更新日期/Last Update: 2022-11-15