基于德尔菲法甲状腺肿瘤患者围手术期快速康复护理模式的构建  

Development of enhanced recovery after surgery nursing mode during perioperative period for thyroid neoplasms surgery patients based on Delphi method

作　　者：张世瑜[1] 郑蕾[1] 吴蓓雯[2] Zhang Shiyu;Zheng Lei;Wu Beiwen(Department of Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Nursing,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院外科,上海200025 [2]上海交通大学医学院附属瑞金医院护理部,上海200025

出　　处：《中华现代护理杂志》2019年第27期3505-3509,共5页Chinese Journal of Modern Nursing

基　　金：上海交通大学医学院科技基金项目(JYH1610).

摘　　要：目的构建快速康复外科理念指导下的甲状腺肿瘤患者围手术期护理模式,为临床甲状腺手术快速康复外科开展提供依据。方法2016年10月—2017年2月通过文献回顾,结合焦点小组访谈结果,通过德尔菲专家咨询方法构建甲状腺肿瘤患者围手术期快速康复护理模式。结果2轮专家咨询问卷回收率均为100%(16/16)。2轮专家权威系数(Cr)分别为0.870 3和0.882 8,研究确定甲状腺肿瘤患者围手术期快速康复护理模式包括13个一级指标及32个二级指标。一级指标重要性评分0.90~0.95,满分比为0.50~0.87;二级指标重要性评分0.89~0.96,满分比为0.56~0.93。重要性变异系数为0~0.15,Kendall's W值为0.227(P<0.01)。结论本研究通过德尔菲专家咨询方法构建甲状腺肿瘤患者围手术期快速康复护理模式,能够科学指导临床护理工作开展。Objective To develop a perioperative care model for patients with thyroid disease under the guidance of enhanced recovery after surgery and to provide a reference for the performance of enhanced recovery after surgery in clinical thyroid nursing mode.Methods The enhanced recovery after surgery care strategies during the perioperative period for thyroid neoplasms patients were formulated by literature review in combination with focal group interviews and the Delphi method from October 2016 to February 2017.Results The response rates for the questionnaires during the two rounds of communication with experts were both 100%(16/16).The authority coefficients(Cr)of experts for the 2 rounds were 0.870 3 and 0.882 8,respectively.It was found that the nursing mode based on enhanced recovery after surgery included 13 primary indicators and 32 secondary indicators.The significance score of these primary indicators averaged 0.90-0.95,with a full mark ratio of 0.50-0.87,while the significance score of these secondary indicators was 0.89-0.96,with a full mark ratio of 0.56-0.93.The coefficient of significance variance was 0-0.15,and Kendall's W was 0.227(P<0.01).Conclusions The perioperative care strategies for thyroid surgery under the guidance of enhanced recovery after surgery are developed in this study using the Delphi method,which may provide a scientific reference for clinical nursing work.

关 键 词：甲状腺肿瘤 围手术期护理 德尔菲法 快速康复外科 护理模式 

分 类 号：R473.73[医药卫生—护理学]