应用Delphi法构建癌症患者化疗间歇期延续护理需求评估系统  

Application of Delphi technique in construction of continuing nursing assessment system in patients with cancer at the intermission of chemotherapy

作　　者：王艾君[1] 栾晓嵘[2] Wang Aijun;Luan Xiaorong(Department of Nursing, Qilu Hospital of Shandong University, Jinan 250012, China)

机构地区：[1]山东大学齐鲁医院化疗科,济南250012 [2]山东大学齐鲁医院护理部,济南250012

出　　处：《中国实用护理杂志》2018年第16期1226-1230,共5页Chinese Journal of Practical Nursing

摘　　要：目的以奥马哈系统为框架构建适合我国国情的癌症患者化疗间歇期延续护理敏感指标体系。方法以奥马哈系统为理论基础，结合文献查阅、半结构访谈，初步构建适用于癌症患者化疗间歇期延续护理敏感指标体系，经过Delphi2轮专家咨询，对指标体系进行删除、补充。结果2轮咨询专家的积极系数分别为90．91％（20／22）、16／18，专家权威系数分别为0．839、0．853，总体变异系数分别为0．10、0．04，总体协调系数分别为0．213、0．606，构建了包含4个一级指标、24个二级指标、71个三级指标的癌症患者化疗延续护理敏感指标体系。结论经过Dephi法评价该体系具有可靠性，可用于癌症患者化疗间歇期延续护理需求的评价。Objective Using Omaha system to construct continuing nursing assessment system in patients with cancer at the intermission of chemotherapy. Methods Based on the Omaha system as the theoretical basis, combined with literature review and semi structural interview, a preliminary construction of sensitive index system for continuous nursing of cancer patients was constructed, and the index system was deleted and supplemented through Delphi 2 rounds of expert consultation. Results The expert＇ s positive coefficients of 2 rounds were 90.91%（20/22） and 16/18 respectively, authority coefficient were 0.839 and 0.853, generally coordination coefficients were 0.213 and 0.606 respectively. The continuing nursing assessment system in patients with cancer at intermission of chemotherapy was constructed containing 4 one-level indicators, 24 secondary indicators and 71 third indicators. Conclusions The continuing nursing assessment system in patients with cancer at intermission of chemotherapy is analyzed by Delphi could comprehensively reflect characteristic of cancer patients＇ continue nursing demand.

关 键 词：肿瘤 药物疗法 奥马哈系统 延续护理 

分 类 号：R473.73[医药卫生—护理学]