基于德尔菲法的糖尿病足溃疡复发危险因素
Risk Factors of Recurrent Diabetic Foot Ulcers Based on the Delphi Method.
作者信息
Haryanto Haryanto, Oe Makoto, Kardatun Tutur, Ramadhaniyati Ramadhaniyati, Makmuriana Lestari, Sari Yunita, Bhakti Wida K
机构信息
Department of Medical Nursing, Wound Management and Critical Care, The Institute of Technology and Health Muhammadiyah West Kalimantan/STIK Muhammadiyah, Pontianak, Indonesia.
Department of Clinical Nursing, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan.
出版信息
Iran J Nurs Midwifery Res. 2024 Jan 9;29(1):56-59. doi: 10.4103/ijnmr.ijnmr_391_21. eCollection 2024 Jan-Feb.
BACKGROUND
The risk factors for recurrence are poorly understood. The purpose of study is to investigate the risk factors that contribute to the recurrence of diabetic foot ulcers.
MATERIALS AND METHODS
This is a cross-sectional study, and the two-phase Delphi method was used. A category was developed to investigate the risk factors of recurrent diabetic foot ulcers by experts. The recurrent items with risk factors were analyzed. Furthermore, the risk factor variables were clinically tested for inter-rater reliability agreement. Fourteen experts and two patients were included from February 15 to September 28, 2020, Indonesia.
RESULTS
There were 13 risk factors for recurrent diabetic foot ulcers. The mean authority coefficient was 0.71. The positive coefficients were 100% and 78%, respectively. The Kendall coordination coefficient was statistically significant ( < 0.01), and inter-rater reliability agreement was perfect (1.00).
CONCLUSIONS
This study found some risk variables related with recurrent diabetic foot ulcers, which might serve as guidance to prevent future recurrences.
背景
复发的风险因素尚不清楚。本研究的目的是调查导致糖尿病足溃疡复发的风险因素。
材料与方法
这是一项横断面研究，采用两阶段德尔菲法。由专家制定一个类别来调查复发性糖尿病足溃疡的风险因素。对具有风险因素的复发项目进行分析。此外，对风险因素变量进行临床测试以评估评分者间的可靠性一致性。2020年2月15日至9月28日，在印度尼西亚纳入了14名专家和2名患者。
结果
复发性糖尿病足溃疡有13个风险因素。平均权威系数为0.71。积极系数分别为100%和78%。肯德尔协调系数具有统计学意义（<0.01），评分者间的可靠性一致性极佳（1.00）。
结论
本研究发现了一些与复发性糖尿病足溃疡相关的风险变量，这可能为预防未来复发提供指导。
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