中国防痨杂志2026，Vol.48Issue(2)：238-246,9.DOI:10.19982/j.issn.1000-6621.20250389
基于时机理论的初治敏感肺结核患者出院准备服务方案的构建
Construction of a discharge preparation service protocol for new drug-susceptible pulmonary tuberculosis patients based on the Timing Theory
摘要
Abstract
Objective:To develop a discharge preparation service protocol for new drug-susceptible pulmonary tuberculosis patients based on the Timing Theory,providing a practical pathway reference for clinicians delivering discharge planning services.Methods:A preliminary draft was developed through literature review and group discussions.Two rounds of expert consultation via the Delphi method were then conducted for further refinement,and the final discharge preparation service protocol for new drug-susceptible pulmonary tuberculosis patients was determined.Results:The response rates of experts in both rounds of Delphi consultation were 100.0％,the expert authority coefficients of 0.912,respectively.In the first round,the Kendall's W coefficients for the importance and operability of the items were 0.186 and 0.225(x2=319.349 and 385.936,both P＜0.001),and those in the second round were 0.212 and 0.271(x2=353.771 and 452.208,both P＜0.001).The final protocol comprised 5 primary indicators,24 secondary indicators,and 70 tertiary indicators,spanning the period from the patient admission to 6 months post-discharge.Conclusion:The discharge preparation service protocol for newly diagnosed drug-susceptible tuberculosis patients,developed based on the Timing Theory,is scientifically validated and reliable,and can provide valuable reference for clinical discharge planning.关键词
结核,肺/病人出院/卫生服务研究/模型,理论/德尔菲技术Key words
Tuberculosis,pulmonary/Patient discharge/Health services research/Models,theoretical/Delphi technique分类
医药卫生引用本文复制引用
蔡丽萍,陈丹萍,唐静,姜斯斯,吴颖,王晓梅..基于时机理论的初治敏感肺结核患者出院准备服务方案的构建[J].中国防痨杂志,2026,48(2):238-246,9.基金项目
同济大学附属上海市肺科医院院级课题(HL202406) Hospital-level Research Project at Shanghai Pulmonary Hospital Affiliated To Tongji University(HL202406) （HL202406）
