Construction of an Internet-based acceptance and commitment therapy intervention scheme for patients suffering from diabetes
糖尿病痛苦患者基于互联网的接纳与承诺疗法干预方案的构建

摘要

目的 根据关系框架理论及糖尿病痛苦患者的身心特点，构建针对糖尿病痛苦患者的基于互联网的接纳与承诺疗法的干预方案。方法 以关系框架理论为指导，在文献研究，质性访谈基础上拟定干预方案初稿。2023年11月--2024年1月对河北省的20名内分泌科医疗和护理专家进行两轮德尔菲专家函询，形成方案终稿。结果 两轮专家函询问卷的有效回收率全都达到了 100%，而专家权威系数分别为 0.94 以及 0.96，两轮函询中各条目重要性所对应的肯德尔和谐系数分别为0.194和0.204，均P＜0.001。最终形成的干预方案周期为1个月，包含7个一级条目、20个二级条目。结论 构建的糖尿病痛苦患者基于互联网的接纳与承诺疗法护理方案科学、可靠、全面、具体，临床适用性较强。

Abstract

Objective To construct an Internet-based acceptance and commitment therapy intervention program for patients with diabetes pain based on relational framework theory and the physical and mental characteristics of patients with diabetes pain.
Methods Guided by relational framework theory, the first draft of the intervention program was drafted on the basis of literature research and qualitative interviews. From November 2023 to January 2024, two rounds of Delphi expert letter inquiries were conducted with 20 endocrinology medical and nursing experts in Hebei Province to form the final draft of the program.
Results The effective recovery rate of the two rounds of expert letter inquiries reached 100%, and the expert authority coefficients were 0.94 and 0.96 respectively. The Kendall harmony coefficients corresponding to the importance of each item in the two rounds of letter inquiries were 0.194 and 0.204 respectively, all P < 0.001. The final intervention plan has a cycle of 1 month, including 7 first-level items and 20 second-level items.
Conclusion   The Internet-based acceptance and commitment therapy nursing program for patients with diabetes pain is scientific, reliable, comprehensive, specific, and has strong clinical applicability.