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作 者:王慧慧 韩艳[2] 马宏惠 马丽丽 苏建萍 WANG Huihui;HAN Yan;MA Honghui;MA Lili;SU Jianping(School of Nursing,the Affiliated Tumor Hospital,Xinjiang Medical University,Urumqi 830011,China;Department of Thoracic Surgery,the Affiliated Tumor Hospital,Xinjiang Medical University,Urumqi 830011,China)
机构地区:[1]新疆医科大学护理学院,乌鲁木齐830011 [2]新疆医科大学附属肿瘤医院胸外科,乌鲁木齐830011
出 处:《新疆医科大学学报》2020年第9期1264-1268,共5页Journal of Xinjiang Medical University
基 金:新疆维吾尔自治区自然科学基金(2016D01C339)。
摘 要:目的构建胸腔镜肺叶切除肺癌患者多学科肺康复护理路径。方法采用病例回顾性分析,通过文献研究和两轮德尔菲(DelPhi)法专家函询,结合专家意见筛选指标,确立胸腔镜肺叶切除肺癌患者多学科肺康复护理路径。结果2轮DelPhi专家函询的积极系数均为100%,提出建议的专家分别为66.67%(10/15)和26.7%(4/15);专家权威系数分别为0.830、0.843,总路径表的肯德尔协调系数分别为0.31,0.37(P<0.01),路径表的Cronbach′sα系数为0.887,折半信度为0.843。最终确立5个一级指标(路径时间)、8个二级指标(康复项目)、103个三级指标(康复项目的具体内容)的胸腔镜肺叶切除肺癌患者多学科肺康复护理路径。结论本研究构建的胸腔镜肺叶切除肺癌患者多学科肺康复护理路径,函询专家对各条目的权威程度和协调程度较高,路径表的信效度良好,分析结果可靠,可为临床护理实践提供参考。Objective To construct multidisciplinary nursing pathway of pulmonary rehabilitation in patients with lung cancer undergoing video-assisted thoracoscopic lobectoy.Methods The multidisciplinary nursing pathway of pulmonary rehabilitation in patients with lung cancer charactered by literature review,case review,two rounds of Delphi expert letter consultation and combined with expert opinions to screening indicators.Results The response-rates of two rounds consultation were 100%,the experts who put forward the proposal on the 2 rounds of expert conclusion were 66.67%(10/15)and 26.7%(4/15)respectively.The authority coefficient were 0.830 and 0.843 respectively,and the significance test of Kendall′s W were 0.31 and 0.37 respectively(P<0.01).The Cronbach′s alpha coefficient was 0.87,and the half-confidence degree was 0.843.Nursing pathway of pulmonary rehabilitation was constructed for patients with thoracoscopic lobectomy of lung cancer,including 5 first-level indicator(times of pathway),8 second-level indicator(rehabilitation of projects),and 103 third-level indicator(specific contents of rehabilitation project).Conclusion Nursing pathway of pulmonary rehabilitation for patients undergoing thoracoscopic lobectomy of lung cancer was constructed because its high degree of authority and coordination.The expert opinion is consistent,which could provide reference for clinical practice.
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