基于德尔菲法的口腔颌面头颈肿瘤患者气管切开居家护理方案的构建  

Construction of home care program for patients with oromaxillofacial head and neck tumor undergoing tracheotomy based on Delphi method

作　　者：徐诸凤 侯黎莉 王悦平[1] 谢瑜婷 刘浏[3] 郁玺玺 XU Zhu-feng;HOU Li-li;WANG Yue-ping;XIE Yu-ting;LIU Liu;YU Xi-xi(Department of Nursing,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011;Shanghai Jiao Tong University School of Nursing,Shanghai 200025;Department of Oromaxillofacial Head and Neck Oncology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院护理部,上海200011 [2]上海交通大学医学院护理学院,上海200025 [3]上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,上海200011

出　　处：《中国口腔颌面外科杂志》2022年第4期371-377,共7页China Journal of Oral and Maxillofacial Surgery

基　　金：长三角科技创新共同体领域项目(21002411300);上海高水平地方高校创新团队(SHSMU-ZDCX20212802);上海交通大学医学院科技基金项目(Jyhz2017);上海交通大学医学院附属第九人民医院护理院基金(JYHL2021MS05)。

摘　　要：目的:构建口腔颌面头颈肿瘤患者气管切开居家护理方案。方法:在前期文献分析、半结构式访谈及理论框架的基础上,构建口腔颌面头颈肿瘤患者气管切开居家护理方案初稿。通过德尔菲法对15名专家进行2轮咨询,得到最终方案。采用SPSS 25.0软件包对数据进行统计分析。结果:2轮专家咨询回收率均为100%,整体专家权威系数为0.88。重要性变异系数为0~0.16,可行性变异系数为0~0.17。最终构建的方案包括4个一级指标、9个二级指标和31个三级指标。结论:口腔颌面头颈肿瘤患者气管切开居家护理方案符合该群体的居家照护需求,方案构建具有科学性、可行性,能为临床护理实践提供参考依据。PURPOSE:To construct a home care program of tracheotomy for patients with oromaxillofacial head and neck tumor.METHODS:Based on content analysis of the literature,semi-structured?interviews and theoretical framework,the first draft of home care program for patients with oromaxillofacial head and neck tumor was constructed.Delphi method was used to carry out two rounds of mail inquiry to 15 experts in relevant fields to determine the final scheme.SPSS 25.0software package was used for data analysis.RESULTS:The questionnaire return rate of the two rounds of expert consultation was 100%and the overall expert authority coefficient was 0.88.The coefficient of variation of importance was0-0.16 and the coefficient of variation of feasibility was 0-0.17.The scheme included 4 primary indicators,9 secondary indicators and 31 tertiary indicators.CONCLUSIONS:The home care program of tracheotomy for patients with oromaxillofacial head and neck tumor constructed in this study meets the needs of this group of patients.The construction of the program is scientific and feasible,also provides a reference for clinical practice.

关 键 词：口腔颌面头颈肿瘤 气管切开 居家护理 德尔菲法 

分 类 号：R739.8[医药卫生—肿瘤]