新冠疫情常态化防控背景下器官移植受者居家随访管理方案的构建  

Follow-up Management Strategy for Organ Transplant Recipients at Home during Regular Epidemic Prevention and Control of COVID-19

作　　者：刘立芳[1,3] 吴小霞 刘佳[1,3,4] LIU Li-fang;WU Xiao-xia;LIU Jia(Dept.of Organ Transplant,the Third Xiangya Hospital of Central South University,Changsha 410013,China;Dept.of Nursing Administration,the Third Xiangya Hospital of Central South University,Changsha 410013,China;Engineering Research Center for Transplantation Medicine of National Health Council,Changsha 410013,China;Xiangya Nursing School,Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅三医院移植科,湖南长沙410013 [2]中南大学湘雅三医院护理部,湖南长沙410013 [3]国家卫生健康委员会移植医学工程技术研究中心,湖南长沙410013 [4]中南大学湘雅护理学院,湖南长沙410013

出　　处：《护理学报》2022年第1期58-63,共6页Journal of Nursing（China）

基　　金：国家自然科学基金青年基金(71904209);湖南省卫生健康委科研基金(202114051600)。

摘　　要：目的以提高新冠疫情常态化防控背景下护理随访工作质量为核心,构建科学的器官移植受者随访管理方案。方法基于新冠疫情爆发流行峰期694例实体器官移植受者居家电话随访的实际调研数据,采用德尔菲专家咨询法对17名专家进行3轮专家咨询,确定常态化疫情防控背景下我国实体器官移植受者的居家随访管理方案。结果3轮专家咨询的积极系数均为100%,专家权威系数均为0.896,协调系数为0.136~0.457,第3轮变异系数最大为0.209,最小为0,形成5项一级指标(就医随访、用药管理、居家生活、常态化疫情防控应对及质量控制)、13项二级指标及39项三级指标的居家随访管理方案。结论本研究构建的实体器官移植受者居家随访管理方案各级指标专家咨询意见趋于一致,专家积极性和权威性高,为规范实体器官移植患者及其他疾病人群在常态化疫情防控的随访管理工作提供现实依据。Objective To develop follow-up management strategy for organ transplant recipients at home under regular epidemic prevention and control of COVID-19.Methods Based on telephone follow-up of 694 solid organ transplant recipients(SOT)at home during COVID-19 outbreak,Delphi expert consultation method was used to conduct 3 rounds of expert consultation among 17 experts to determine the management strategy of home telephone follow-up of SOT recipients during the epidemic.Results The positive coefficient of 3 rounds of expert consultation was all 100%and expert coefficients 0.896.Coordination coefficient ranged from 0.136 to 0.457 and the coefficient of variation of the third round ranged from 0 to 0.209.The final follow-up management strategy consisted of 5 first-level indicators(medical follow-up,medication management,family life,response to regular epidemic prevention,and quality control),13 second-level and 39 third-level indicators.Conclusion The follow-up management strategy for organ transplant recipients constructed in this study tends to be consistent with expert consultation on indicators at all levels,with high enthusiasm and authority of experts,which provides practical basis for regulating the follow-up management of SOT patients and other disease groups in regular epidemic prevention and control.

关 键 词：疫情防控 器官移植 随访 

分 类 号：R473.6[医药卫生—护理学]