Construction of self-management demand questionnaire for elderly patients with chronic heart failure based on Delphi method
10.3760/cma.j.cn115682-20200413-02675
- VernacularTitle:基于德尔菲法的老年慢性心力衰竭患者自我管理需求问卷的构建
- Author:
Xuju YU
1
;
Youqing PENG
Author Information
1. 同济大学医学院，上海 200092
- Keywords:
Aged;
Chronic heart failure;
Self-management;
Delphi;
Evaluation tool
- From:
Chinese Journal of Modern Nursing
2020;26(29):4012-4016
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To developed a self-management demand questionnaire for elderly patients with chronic heart failure (CHF) so as to provide an evaluation tool for effective assessment of self-management demand of patients.Methods:From August to September 2019, based on Maslow's hierarchy of needs theory and cross-cultural nursing theory, the dimensions and item pool of the questionnaire were constructed through literature review and preliminary qualitative research of the research group. A total of 15 experts related to this research field were selected and the Delphi method was used to conduct two rounds of letter consultation on the contents of the questionnaire to calculate the expert's positive coefficient, authority coefficient, concentration degree of expert opinions and Kendall's coordination coefficient (Kendall's W) . Results:In 2 rounds of letter inquiries, the positive coefficient of experts was 100.0%, and the coefficient of expert authority was 0.86. In the first and second rounds of letter inquiries, Kendall's W values for the first-level indexes were 0.171 and 0.233, and Kendall's W values for the second-level indexes were 0.190 and 0.164 ( P<0.01) . The questionnaire for elderly self-management demand of CHF patients was preliminarily formed, including 5 dimensions (physiological guidance needs, safety knowledge and skill guidance needs, psychological care needs, respect and social support needs and self-realization needs) and 46 items. Conclusions:The self-management demand questionnaire for elderly CHF patients compiled by the Delphi method has high reliability. It is of practical significance to assess the self-management needs of elderly CHF patients and conduct targeted self-management interventions, but reliability and validity tests are also required.
