基于循证和德尔菲法构建子宫根治术后膀胱管理方案  

Construction of Bladder Management Program After Radical Hysterectomy Based on Evidence-based and Delphi Method

作　　者：胡燕[1] 王富兰[1] 张榆 刘潺 HU Yan;WANG Fu-lan;ZHANG Yu;LIU Chan(Department of Gynecology,the Fist Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院妇科,重庆400016

出　　处：《医学信息》2021年第2期113-117,共5页Journal of Medical Information

基　　金：重庆医科大学附属第一医院科研项目(编号:HLJJ2018-17)。

摘　　要：目的构建子宫根治术后患者膀胱管理方案,为临床医务人员实施膀胱管理提供参考。方法采用循证方法筛选最佳证据,经专家会议构建子宫根治术后患者膀胱管理方案初稿,采用德尔菲法向19名妇科及膀胱管理领域专家进行2轮函询以确定子宫根治术后患者膀胱管理方案。结果纳入14篇高质量文献,两轮专家函询问卷的有效回收率均为100%,权威系数分别为0.951和0.960,Kendall's W值均有统计学意义(P<0.001)。最终形成的子宫根治术后患者膀胱管理方案包括5个一级指标,13个二级指标和34个三级指标。结论通过循证及德尔菲法构建的子宫根治术后患者膀胱管理方案具有较高的科学性和可行性,可为临床医务人员实施子宫根治术后膀胱管理提供参考。Objective To construct a bladder management program for patients after radical hysterectomy,and provide reference for clinical medical staff.Methods Evidence-based methods were used to screen the best evidence,the first draft of the bladder management program for patients after radical hysterectomy was constructed through an expert meeting,and the Delphi method was used to conduct 2 rounds of consultation with 19 experts in the field of gynecology and bladder management to determine the bladder management program.Results Including 14 high-quality literatures,the effective recovery rate of the two rounds of expert letter questionnaires was 100%,the authoritative coefficients were 0.951 and 0.960,respectively,and Kendall's W values were statistically significant(P<0.001).The final bladder management program includes 5 first-level indicators,13 second-level indicators and 34 third-level indicators.Conclusion The evidence-based and Delphi method of bladder management for patients after radical hysterectomy is highly scientific and feasible,and can provide a reference for clinical medical staff to implement bladder management.

关 键 词：子宫根治术 膀胱管理 循证 德尔菲法 方案构建 

分 类 号：R473.71[医药卫生—护理学]