In recent years,significant insights have been gathered into the effectiveness of lifestyle interventions in the treatment of chronic non-communicable diseases(NCD).To speed up the implementation of evidence-based lif...In recent years,significant insights have been gathered into the effectiveness of lifestyle interventions in the treatment of chronic non-communicable diseases(NCD).To speed up the implementation of evidence-based lifestyle medicine,we developed a research agenda in collaboration with Dutch experts in treating NCD,using a hybrid Delphi approach.The research agenda focuses on four key themes:(1)promoting sustainable behavioural change at patient,healthcare professional and organisational levels;(2)optimising research designs,methodology and outcomes for the evaluation of effectiveness and implementation of lifestyle medicine modalities in healthcare practice;(3)elucidating biological mechanisms underlying successful lifestyle interventions and(4)advancing data infrastructure to ensure accessible data for citizens,healthcare professionals,researchers and health insurers for monitoring and evaluation of health and lifestyle outcomes.Collectively,the identified knowledge questions across these four themes provide guidance for(applied)research towards lifestyle medicine in healthcare.展开更多
目的:基于健康行为过程取向模型(Health Action Process Approach,HAPA)构建肺源性心脏病病人自我管理测评量表,并对其信度和效度进行检验。方法:基于HAPA模型,通过文献分析、头脑风暴、专家函询及预调查构建初始量表。2024年10月—12...目的:基于健康行为过程取向模型(Health Action Process Approach,HAPA)构建肺源性心脏病病人自我管理测评量表,并对其信度和效度进行检验。方法:基于HAPA模型,通过文献分析、头脑风暴、专家函询及预调查构建初始量表。2024年10月—12月选取260例肺源性心脏病病人进行调查,对量表进行项目分析及信效度检验。结果:探索性因子分析提取了5个公因子,累计方差解释率为69.989%。构建的肺源性心脏病病人自我管理测评量表包含风险意识、结果预期、自我效能、行动、应对计划5个维度,共27个条目。量表的Cronbach′s α系数为0.966,折半信度为0.845,重测信度为0.886,量表水平的内容效度指数为0.889。结论:构建的自我管理测评量表在肺源性心脏病病人中有较好的科学性和有可靠性,可作为评估肺源性心脏病病人自我管理能力的工具。展开更多
目的构建适用于临床的置管前经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheterization,PICC)患者并发症风险评估指标体系,用于医护人员在PICC置管前对患者的情况进行系统评估,判断相关并发症发生的可能性。方法...目的构建适用于临床的置管前经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheterization,PICC)患者并发症风险评估指标体系,用于医护人员在PICC置管前对患者的情况进行系统评估,判断相关并发症发生的可能性。方法通过前期对PICC置管专业护士进行问卷调查、专家访谈、文献查证和Meta分析,形成置管前PICC并发症风险评估指标体系,采用改良德尔菲法对18位PICC护理专家进行咨询和重要性评分,用Excel 2015和SPSS 21.0软件计算指标权重并修改定稿。结果依据PICC并发症的相关风险因素,建立了由4个一级指标和41个二级指标组成的置管前PICC并发症风险评估指标体系,其中一级指标包括患者基本情况(16个二级指标)、穿刺肢体情况(12个二级指标)、血管和导管选择情况(8个二级指标)和患者依从性(5个二级指标)。结论初步建立了置管前PICC并发症风险评估指标体系,能据此进行PICC并发症风险评估,从而针对性制定护理计划以预防和减少PICC并发症的发生。展开更多
<strong>Purpose:</strong> This study aims to verify the validity of the contents of the Nurse Administered Depression Scale for Elderly Inpatients16 (NDE16) using the Delphi approach in order to further im...<strong>Purpose:</strong> This study aims to verify the validity of the contents of the Nurse Administered Depression Scale for Elderly Inpatients16 (NDE16) using the Delphi approach in order to further improve the accuracy of the NDE16, a scale for rating potential depressive states in elderly inpatients through the observations reported by nurses.<strong> Methods:</strong> Participants were nurses working in general wards for longer than 3 years and who expressed consent to the study participation. Data were collected using the Delphi method (3 times). Responses are scored from 1 to 5 (3 - 5 points as positive) using the Likert method. The standard criteria for inclusion in the further evaluation are “mean ≥ 3.0”, “standard deviation < 1.0”, “median ≥ 3.0”, and “IQR ≤ 1.0”. Items that meet all the criteria at the third survey are employed as question items in the final questionnaire. <strong>Results: </strong>The respondents were 139 females, 10 males, and 1 unknown, aged 25 to 65. The collection rates of the three surveys were 75% to 82%. Based on the results of the first survey, wordings of 9 questions were modified. Since Question 13 “Queries are not really responded to.” did not meet the criteria (IQR = 2) at the third survey, we excluded this question and named the revised scale NDE15. <strong>Discussion: </strong>The reason why Question 13 did not meet the criteria could be due to the difficulty in distinguishing “Expressing thought suppression” from the state of cognitive decline in dementia. Further studies are needed to determine cutoff points.展开更多
基金funded by a special programof the Dutch Ministry of Health, Welfare and Sport (Ministerie van Volksgezondheid,Welzijn en SportGrant Number N/A).
文摘In recent years,significant insights have been gathered into the effectiveness of lifestyle interventions in the treatment of chronic non-communicable diseases(NCD).To speed up the implementation of evidence-based lifestyle medicine,we developed a research agenda in collaboration with Dutch experts in treating NCD,using a hybrid Delphi approach.The research agenda focuses on four key themes:(1)promoting sustainable behavioural change at patient,healthcare professional and organisational levels;(2)optimising research designs,methodology and outcomes for the evaluation of effectiveness and implementation of lifestyle medicine modalities in healthcare practice;(3)elucidating biological mechanisms underlying successful lifestyle interventions and(4)advancing data infrastructure to ensure accessible data for citizens,healthcare professionals,researchers and health insurers for monitoring and evaluation of health and lifestyle outcomes.Collectively,the identified knowledge questions across these four themes provide guidance for(applied)research towards lifestyle medicine in healthcare.
文摘目的:基于健康行为过程取向模型(Health Action Process Approach,HAPA)构建肺源性心脏病病人自我管理测评量表,并对其信度和效度进行检验。方法:基于HAPA模型,通过文献分析、头脑风暴、专家函询及预调查构建初始量表。2024年10月—12月选取260例肺源性心脏病病人进行调查,对量表进行项目分析及信效度检验。结果:探索性因子分析提取了5个公因子,累计方差解释率为69.989%。构建的肺源性心脏病病人自我管理测评量表包含风险意识、结果预期、自我效能、行动、应对计划5个维度,共27个条目。量表的Cronbach′s α系数为0.966,折半信度为0.845,重测信度为0.886,量表水平的内容效度指数为0.889。结论:构建的自我管理测评量表在肺源性心脏病病人中有较好的科学性和有可靠性,可作为评估肺源性心脏病病人自我管理能力的工具。
文摘<strong>Purpose:</strong> This study aims to verify the validity of the contents of the Nurse Administered Depression Scale for Elderly Inpatients16 (NDE16) using the Delphi approach in order to further improve the accuracy of the NDE16, a scale for rating potential depressive states in elderly inpatients through the observations reported by nurses.<strong> Methods:</strong> Participants were nurses working in general wards for longer than 3 years and who expressed consent to the study participation. Data were collected using the Delphi method (3 times). Responses are scored from 1 to 5 (3 - 5 points as positive) using the Likert method. The standard criteria for inclusion in the further evaluation are “mean ≥ 3.0”, “standard deviation < 1.0”, “median ≥ 3.0”, and “IQR ≤ 1.0”. Items that meet all the criteria at the third survey are employed as question items in the final questionnaire. <strong>Results: </strong>The respondents were 139 females, 10 males, and 1 unknown, aged 25 to 65. The collection rates of the three surveys were 75% to 82%. Based on the results of the first survey, wordings of 9 questions were modified. Since Question 13 “Queries are not really responded to.” did not meet the criteria (IQR = 2) at the third survey, we excluded this question and named the revised scale NDE15. <strong>Discussion: </strong>The reason why Question 13 did not meet the criteria could be due to the difficulty in distinguishing “Expressing thought suppression” from the state of cognitive decline in dementia. Further studies are needed to determine cutoff points.
