Construction of structured education course for patients with neurogenic bladder during rehabilitation period
10.3760/cma.j.cn115682-20231009-01403
- VernacularTitle:康复期神经源性膀胱患者结构化教育课程的构建
- Author:
Heli ZHANG
1
;
Xianjing HU
;
Hongle DAI
;
Shuyu HAN
;
Yongmei LUO
;
Rongmei GENG
;
Baohua LI
Author Information
1. 北京大学第三医院康复医学科,北京 100191
- Keywords:
Neurogenic bladder;
Rehabilitation period;
Health education;
Structured curriculum;
Delphi method
- From:
Chinese Journal of Modern Nursing
2024;30(25):3416-3423
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a structured education course for patients with neurogenic bladder during the rehabilitation period.Methods:This study consisted three stages of current situation survey, literature search, and expert consultation. From February 2022 to February 2023, a current survey was conducted on the self-management needs of 62 patients with neurogenic bladder. In April 2023, a literature search was conducted to summarize the best evidence on nursing and management of neurogenic bladder, and form the initial version of course indicators and content. From April to May 2023, 14 experts were selected for consultation, and the Delphi method was used to demonstrate the course indicators and content, and to construct the final draft of the course.Results:A total of 62 patients with neurogenic bladder were included, they have requirements for water management, bladder function training, and dietary requirements, etc. A total of 2 053 articles were retrieved, and 14 articles were ultimately included, including eight guidelines, four evidence summaries, one expert consensus, and one systematic review. The expert authority coefficients for the two rounds of expert consultation were 0.93 and 0.92, respectively. The Kendall coordination coefficient of various indicators in the second round of expert consultation was 0.227 to 0.288 ( P<0.01). After two rounds of expert consultation, a structured education course for patients with neurogenic bladder during the rehabilitation period was finally developed, including six primary indicators, 21 secondary indicators, and 30 tertiary indicators. Conclusions:The structured education course for patients with neurogenic bladder during the rehabilitation period, based on current situation survey, high-quality evidence, and expert consultation, is comprehensive in content and reasonably designed, which can provide supportive assistance for future nursing health education and management for patients with neurogenic bladder.