Construction of a decision-making support tool for family members of children with hypertrophy of tonsils and adenoid based on the Ottawa decision support framework
YE Huanhuan
LIU Yu
ZHOU Min
GUAN Xiaoli
Abstract：Objective:To build decision-making support tool for the family members of children with hypertrophy of tonsils combined with adenoid hypertrophy based on the Ottawa decision-making support framework,and to provide timely and effective support and guidance for the family members of children to participate in treatment decision-making.Methods:The qualitative interview method and literature analysis method were used to construct the first version of the decision-making support tool for the family members of children with hypertrophy of tonsils combined with adenoid hypertrophy.The first version of the support decision-making tool was revised through two rounds of expert correspondence.A total of 7 family members were selected by the convenient sampling method to participate in the user evaluation,and the international quality evaluation standards of patient auxiliary decision-making tools were referred to the revised version,then formed the final version of decision-making support tool.Results:During the two rounds of expert correspondence,the effective recovery rate was 100%.The authority coefficients were 0.975 and 0.977 respectively.And the Kendall coordination coefficients were 0.215 and 0.273,respectively(P<0.001).The four-dimensional scores of practicality,ease of use,acceptability,and understandability of the decision-making support tools among the 7 family members were(4.86±0.38)points,(4.00±1.00)points,(3.57±0.54)points,and(4.14±0.90)points respectively.The user experience of the presentation form of decision-making support tools was integrated.The final version of the decision-making support tools for the family members of children with hypertrophy of tonsils combined with adenoid hypertrophy was formed with 3 first-level items,8 secondary-level items,and 30 third-level items.The formed decision-making support tool presented in the form of electronic albums and web versions.Conclusions:The formed decision-making support tool for the family members of children with hypertrophy of tonsils combined with adenoid hypertrophy is intuitive and convenient to obtain.Which could provide a decision-making support for children's family members,reduce decision-making conflicts,and improve the medical experience and patient satisfaction.
Keywords：Ottawa decision support frameworkdecision-making conflictdecision-making support toolhypertrophy of tonsils and adenoidsnursing
Publication Date：2025-03-14
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 849-854 )