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[开发与验证电子更年期健康筛查系统的有效性和可靠性]

[Developing and Verifying the Validity and Reliability of the Electronic Menopausal Health Screen System].

作者信息

Lee Pei-Shan, Lee Chyi-Long, Liu Chieh-Yu, Chen Wen-Chin, Yu Yen-Yen, Tsao Lee-Ing

机构信息

PhD, RN, NP, Department of Nursing, Linkou Chang Gung Memorial Hospital, and Adjunct Assistant Professor, College of Design, Department of Cosmetic Science, Vanung University, Taiwan, ROC.

PhD, MD, Professor and Attending Physician, Department of Obstetrics & Gynecology, Linkou Chang Gung Memorial Hospital, and Vice Superintendent, Keelung Chang Gung Memorial Hospital, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2016 Dec;63(6):41-51. doi: 10.6224/JN.63.6.41.

Abstract

BACKGROUND

Menopausal women are in a transitional phase between health and sickness. Although the highest standards of menopausal care include clinical assessment and patient education on menopausal symptoms, current practices lack integrated care that aim to prevent chronic diseases for which menopause is a predisposing factor.

PURPOSE

To integrate menopausal disturbances; to evaluate the risk factors for osteoporosis, cardiovascular disease, and diabetes; and to create a reliable and effective electronic menopausal health screen system (EMHSS).

METHODS

The research was conducted in the four stages of assessment and analysis, design, development, and pretest stage in order to explore the effectiveness of the developed EMHSS.

RESULTS

The EMHSS has a high degree of reliability and validity. Analysis found an expert validity of .97.99, content validity of .99, and test-retest reliabilities of .80.96 (Pearson's correlation) and .79~.96 (intra-class correlation).

CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The EPMHSS was developed using cross-disciplinary collaboration among nursing staff, medical practitioners, and information engineers in order to screen menopausal women. The EPMHSS provides tailored health education content for patients in a timely manner and compiles historical assessment data that may be referenced by nursing staff when providing health consultations and by physicians when delivering diagnoses and treatment.

摘要

背景

更年期女性正处于健康与疾病的过渡阶段。尽管更年期护理的最高标准包括临床评估和针对更年期症状的患者教育,但目前的做法缺乏旨在预防以更年期为诱发因素的慢性病的综合护理。

目的

整合更年期紊乱情况;评估骨质疏松症、心血管疾病和糖尿病的风险因素;创建一个可靠且有效的电子更年期健康筛查系统(EMHSS)。

方法

该研究分评估与分析、设计、开发和预测试四个阶段进行,以探究所开发的EMHSS的有效性。

结果

EMHSS具有高度的可靠性和有效性。分析发现专家效度为0.97至·99,内容效度为0.99,重测信度为0.80至0.96(皮尔逊相关系数)和0.79至0.96(组内相关系数)。

结论/对实践的启示:EPMHSS是通过护理人员、医生和信息工程师之间的跨学科合作开发的,用于筛查更年期女性。EPMHSS及时为患者提供量身定制的健康教育内容,并汇编历史评估数据,护理人员在提供健康咨询时以及医生在进行诊断和治疗时可参考这些数据。

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