Construction of the mindfulness intervention program for patients with chronic obstructive pulmonary disease at home based the solution focused approach

Objective Based on the Kabat-Zinn′s mindfulness decompression therapy and Teasdale′s mindfulness cognitive therapy, and using the solution-focused approach as the frame structure, we establish comprehensive, standard mindfulness interventions scheme of domiciliary patients with chronic obstructive pulmonary disease, which can provide the basis for the development of the community and residential care. Methods Twenty-six experts were selected as the target of the study and two rounds of correspondence were used to establish the final mindfulness intervention plan of the domiciliary patients with chronic obstructive pulmonary disease. Meanwhile, the reliability and representativeness of the consultation are tested by using the coordination degree, positive coefficient and authoritative coefficient of expert opinions. Results The positive coefficient of the two round correspondence experts were 88.46%(23/26) and 100.00%(23/23), and the expert authority coefficient was 0.90 and 0.91. The variation coefficient of the indicators after two rounds of expert consultation was 0.04-0.14, the coordination coefficient of experts was 0.32(P<0.01) and 0.59(P<0.01) respectively. The final construct of domiciliary patients of chronic obstructive pulmonary disease with the intervention programme consists of 5 steps, 25 entries, which was suitable for the positive reading intervention scheme. Conclusions The results show that experts enquiry for representative and high credibility, and the mindfulness intervention plan of domiciliary patients with chronic obstructive pulmonary disease is scientific and practical. Key words: Delphi technique; Pulmonary disease, chronic obstructive; Domiciliary; Mindfulness; Solution-focused approach