关键词:

慢性肾脏病, 健康教育评价, 德尔菲法, 层次分析法

Abstract:

Objective　To construct an evaluation index system for the effect of health education on chronic kidney disease, and to provide a reference basis for formulating and carrying out health education work. Methods　The relevant literatures on the evaluation index system for the effect of health education on chronic kidney disease established in Cochrane, PubMed, Web of Science, CNKI, Wanfang, and VIP from the establishment of the databases to June 2023 were searched by computer. Finally, 80 literatures were selected, and 6 first-level indicators were obtained (satisfaction effect, education effect, management effect, economic effect, social effect, and sustainable development). On the basis of literature retrieval, with reference to the local standards of Specification for Health Education on Chronic Kidney Disease and the evaluation index system model of "audience-social-economy-sustainability", and combined with the actual work of health education, an evaluation index system for the effect of health education for chronic kidney disease (6 first-level indicators and 20 second-level indicators) was initially developed. The expert letter questionnaire was made, including the foreword, the expert basic information questionnaire, the expert familiarity and judgment basis, and the expert opinion table. From August to September 2023, two rounds of questionnaires were sent to 28 experts with an interval of two weeks. After the end of the first round of expert correspondence, the research team made modifications according to the experts' opinions and the screening principle of indicators, and the second round of expert correspondence questionnaire was formed. χ² test was used for statistical analysis, enthusiasm was represented by questionnaire recovery rate and opinion proposal rate, authority was represented by authority coefficient, coordination degree and consistency were represented by Kendall harmony coefficient and variation coefficient, and analytic hierarchy process was used to determine the weights of the first-level and second-level indicators. Results　A total of 28 experts in the field of chronic kidney disease and science popularization were included in this study, including 8 males and 20 females; age: ≥30 - <35 years old in 14 cases, ≥35 - <40 years old in 5 cases, and ≥40 years old in 9 cases; education: bachelor's degree in 17 cases, master's degree in 5 cases, and doctor's degree in 6 cases; working years: <10 years in 17 cases, ≥10 - <20 years in 5 cases, and ≥20 years in 6 cases; professional titles: intermediate in 9 cases, associate senior in 15 cases, and senior in 4 cases; frequency of health education activities: once or twice a day in 8 cases, once or twice a week in 6 cases, once or twice a month in 8 cases, once or twice a quarter in 4 cases, and once or twice a year in 2 cases. The recovery rates of the two rounds of questionnaires were 100.00%(28/28) and 92.86%(26/28), respectively. In the first round of expert correspondence, 16 experts gave their opinions in written or oral form, accounting for 57.14%. The expert authority coefficients of the two rounds were 0.804 and 0.839, respectively. The Kendall harmony coefficients of the first-level and second-level indicators in the first round of expert correspondence were 0.263 and 0.211, respectively, and 0.316 and 0.272 in the second round, with statistically significant differences between the two rounds (all P<0.05). The variation coefficients of the first-level indicators in the first round of expert correspondence were 0 - 0.196, without addition or deletion; the variation coefficients of the second-level indicators were 0 - 0.286, and 4 items of the second-level indicators were modified. In the second round of expert correspondence, there were no additions or deletions to the first-level or second-level indicators. Finally, an evaluation index system for the effect of health education on chronic kidney disease including 6 first-level indicators and 27 second-level indicators was constructed. The weights of satisfaction and education effect were both 0.173, 0.172 of management effect, 0.170 of economic effect, 0.163 of social effect, and 0.018 of sustainable development effect. Conclusion　The formulation of the evaluation indexes for the effect of health education on chronic kidney disease is scientific, reasonable, comprehensive in content, and highly targeted, which can be used to evaluate health education activities for patients with chronic kidney disease.

Key words:

Chronic kidney disease, Health education evaluation, Delphi method, Analytic hierarchy process