Construction a community pathway of chronic disease management for chronic obstructive pulmonary disease / 中国实用护理杂志

ABSTRACT

Objective@#To construct a community pathway of chronic disease management for chronic obstructive pulmonary disease (COPD), which provided a theoretical basis for community management of chronic disease in COPD.@*Methods@#Under the theoretical framework of the PDCA cycle management method, the questionnaire was formed with reference to the clinical pathway. This study conducted two-rounds of expert correspondence by using the Delphi method.@*Results@#After two rounds of expert letters, the effective recovery rate of the volume was 100% (15/15), the authoritative coefficient was 0.85, the familiarity coefficient was 0.76, and the judgment coefficient was 0.93, the path of COPD chronic disease management community was ultimately determined for 6 first-level indicators, including assessment, planning, implementation, variation, evaluation and feedback, 19 second-level indicators and 44 third-level indicators. The coordination coefficient of indicators was 0.12, 0.05, 0.12, and the coordination of expert opinions of the third-level indicators was statistically significant (P<0.05).@*Conclusion@#The community path of COPD chronic disease management has been tested by experts, with concentrated opinions and scientific and reliable, which provides a reference for COPD chronic disease community management.