糖尿病足住院患者决策信息需求问题提示列表的构建及可行性评估

目的 构建糖尿病足住院患者决策信息需求问题提示列表，为促进其参与医疗决策提供实用工具。方法 通过查阅文献、咨询临床一线的专科医护人员、半结构式访谈、德尔菲专家函询并经过临床调适后确定问题提示列表患者版本，便利抽样法选取39例住院患者对问题提示列表在临床使用的可行性进行评估。结果 2轮专家函询的积极系数分别为95.00%和100.00%，专家权威系数为0.951、0.948；第2轮专家函询，指标重要性及相关性的肯德尔协调系数分别为0.214、0.200（均P＜0.05）。最终的问题提示列表包括6个一级指标和43个二级指标。41.03%~69.23%的患者认可问题提示列表的临床使用效果。结论 糖尿病足住院患者决策信息需求问题提示列表具有可行性，能够帮助住院患者提出更多疾病相关问题，改善医患沟通，促进患者参与医疗决策。

Development of a question prompt list on decision making in patients with diabetic foot:a feasibility study

Objective To develop a question prompt list (QPL) on decision making in patients with diabetic foot, and to provide a practical tool for promoting their participation in medical decision-making.Methods The patient version of the QPL was formulated by using literature review, consultation with first-line medical staff, semi-structured interviews, Delphi consultation and clinical adaptation.Then, a convenience sample of 39 patients were selected to evaluate the clinical feasibility of the QPL.Results Questionnaire return rate in two rounds of Delphi consultation was 95.00% and 100.00% respectively, and the authority coefficient was 0.951 and 0.948.The Kendall′s W of importance and relevance of the indicators was 0.214 and 0.200 respectively （both P＜0.05）.The QPL included 6 primary indicators and 43 secondary indicators.About 41.03%-69.23% of the patients approved of the efficacy of the QPL.Conclusion The QPL on decision making for patients with diabetic foot is feasible, which can help them ask more disease-related questions, improve doctor-patient communication, and promote patients′ participation in decision making.