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目的 构建基于信息-动机-行为技巧（IMB）模型并融合数字化技术的COPD药学服务指标体系，为后续实证验证与临床应用提供理论基础。方法 采用文献分析等方法形成初始指标库；邀请涵盖药学、临床医学、护理学、公共卫生与临床研究方法学的15名专家开展2轮德尔菲法函询，对所建指标体系的重要性进行评价，初步形成指标体系框架。结果 经2轮专家函询后，初步形成以“信息、动机、行为技巧”三大干预维度为核心的COPD药学服务指标体系，有效回收率为100%，专家权威系数为0.88,2轮肯德尔协调系数均为0.207(P<0.05)，涵盖9项二级指标与21项三级指标。结论 基于IMB模型与数字化技术的COPD药学服务指标体系，可满足专家积极程度、权威程度和意见一致性等各项要求。数字化手段的引入增强了干预措施的可操作性。
Abstract：AIM To construct a pharmaceutical care indicator system for chronic obstructive pulmonary disease(COPD) based on the information-motivation-behavioral skills(IMB) model integrated with digital technology, thereby providing an expert consensus foundation for subsequent empirical validation and clinical application. METHODS An initial indicator pool was developed through literature analysis and related methods. Fifteen experts in pharmacy, clinical medicine, nursing, public health, and clinical research methodology were invited to participate in two rounds of Delphi consultations to evaluate the importance of the proposed indicators and thereby preliminarily form an indicator system framework. RESULTS After two rounds of expert consultation, a preliminary indicator system for COPD pharmaceutical care was formed, based on the three key intervention dimensions: information, motivation, and behavioral skills. The effective response rate was 100%, the expert authority coefficient was 0.88, and Kendall's coefficient of concordance was 0.207(P < 0.05). The final system included 9 secondary indicators and 21 tertiary indicators. CONCLUSION The COPD pharmaceutical care indicator system based on the IMB model and digital technology meets all criteria regarding expert enthusiasm, authority, and consensus. The incorporation of digital tools enhances the feasibility of the interventions.
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基本信息:
DOI：10.19577/j.1007-4406.2026.08.001
中图分类号:R563.9;R969
引用信息:
[1]马雪迪,李欣燚,史长城,等.基于IMB模型与数字化技术的COPD药学服务指标体系构建[J].中国临床药学杂志,2026,35(08):673-678.DOI:10.19577/j.1007-4406.2026.08.001.
基金信息:
中国药师协会科研课题（编号CPA-2026QNKT008）
2026-08-25
2026-08-25