Abstract:

Objective To establish an evaluation index system for health education among high output stoma patients with low anterior resection of rectal cancer and preventive ileostomy so as to provide reference for clinical nurses to carry out targeted health education and guidance for prophylactic ileostomy patients with high output stoma. Methods Literature review，semi-structured interviews，as well as the Delphi method and Multi-dimensional Analytic Hierarchy Process were used to establish a framework of the evaluation index system based on the theory of Knowledge-Belief-Practice and set weighted value for each evaluation index. Results The response rates of the two rounds of expert consultations was 75% and 87%，respectively. The expert authority coefficients was 0.873 and 0.969，respectively. The total Kendall harmony coefficients of the two rounds of expert consultations were 0.267-0.338 and 0.377-0.397（P<0.05）. As a result，an evaluation index system of health education was developed which comprised three first-level indexes，13 second-level indexes and 63 third-level indexes for high output stoma patients with low anterior resection of rectal cancer and preventive ileostomy. Conclusion The evaluation index system can provide evidence and a practice tool for clinical nurses in conducting a comprehensive and efficient evaluation of health education among high output stoma patients with low anterior resection of rectal cancer and preventive ileostomy.

Key words: Rectal neoplasms, Ileostomy, High output stoma, Health Education, Delphi technique