应用Delphi法研制功能性消化不良患者健康行为自我效能量表

目的初步编制适用于评估我国功能性消化不良患者健康行为自我效能量表，为临床护理提供实用型的评估工具。方法在文献回顾、小组讨论以及专家访谈的基础上初步拟定量表体系，采用Ddphi法对20名护理、医疗、心理等领域的专家就量表体系进行2轮咨询论证。结果2轮专家咨询后形成专家一致性意见，专家权威系数为0．83，专家意见的肯德尔和谐系数分别为0．23、0．39，经检验后均有差异。确定了由饮食、运动、心理调适、社会活动与健康责任5项一级指标，11项二级指标和44项三级指标构成的功能性消化不良患者健康行为自我效能量表。结论基于Delphi法研制的功能性消化不良患者健康行为自我效能量表，具有较高的可靠性，为功能性消化不良患者自我效能、健康教育提供评估工具。

Using Delphi method to develop the health behavior self-efficacy scale for functional dyspepsia patients

Objective To explore a preliminary health behavior self-efficacy scale for functional dyspepsia patients, and supply a practical evaluation tool for clinical nurses. Methods Through literature review,group discussion and expert interview,the authors established the preliminary index system. The Delphi method was used to organize two rounds of 20 experts consultations. Results In the two rounds of expert consultations,experts positive coefficients were 100% ,respectively. The authoritative coefficient of experts was 0.83,respectively. The Kendall＇s W coefficients were 0.23 and 0.29. The evaluation system included 5 dimensions,11 evaluation indicators,and 42 evaluation items. Conclusions The reliability of the self-efficacy scale developed with Delphi method is relatively high and it can acted as an evaluation tool for self-efficacy and health education of patients with functional dyspepsia.