基于移动医疗的直肠癌保肛术后病人肠道症状远程干预方案的构建  

Construction of the remote intervention scheme for intestinal symptoms of patients with rectal cancer after sphincter preservation based on mobile medicine

作　　者：李慧 胡少华 庞雪滢 尹丹乔 俞士卉 王婷 何红叶 符敏 LI Hui;HU Shaohua;PANG Xueying;YIN Danqiao;YU Shihui;WANG Ting;HE Hongye;FU Min(School of Nursing,Anhui Medical University,Anhui 230601 China)

机构地区：[1]安徽医科大学护理学院,安徽230601 [2]安徽医科大学第一附属医院

出　　处：《护理研究》2022年第23期4141-4147,共7页Chinese Nursing Research

基　　金：2021年度安徽高校自然科学研究项目,编号:KJ2021ZD0020;2021年度安徽医科大学护理学院研究生青苗培育计划项目,编号:hlqm2021007。

摘　　要：目的:构建基于移动医疗的直肠癌保肛术后病人肠道症状远程干预方案。方法:以信息⁃动机⁃行为技巧(information⁃motivation⁃behavioral,IMB)模型为理论指导,采用文献研究法、研究小组会议法构建干预方案初稿,采用德尔菲法进行专家函询确定干预方案。结果:共进行了2轮专家函询,问卷的有效回收率均为100%;专家权威系数为0.878,0.902;Kendall协调系数为0.335,0.302(均P<0.001)。最终形成了信息、动机、行为技巧干预3个主题;入院前、术前、术后7 d、出院前、居家康复5个时间段,共37个条目的干预方案。结论:基于移动医疗的直肠癌保肛术后病人肠道症状远程干预方案具有科学性及实用性,有利于为病人提供连续、动态的信息支持及远程医护指导,满足出院病人需求。Objective:To construct the remote intervention scheme for intestinal symptoms of patients with rectal cancer after sphincter preservation based on mobile medicine.Methods:Guided by the information⁃motivation⁃behaviora(l IMB)model,the first draft of the intervention plan was constructed by using the literature research method and the research group meeting method,and the final intervention plan was formed by using the Delphi method for expert correspondence.Results:There were two rounds of expert consultation.The effective recovery rates of of 2 rounds of expert letter questionnaires were 100%.The expert authority coefficients were 0.878 and 0.902,respectively.And Kendall coordination coefficients were 0.335 and 0.302(P<0.001).Finally,the remote intervention scheme for intestinal symptoms of patients with rectal cancer after sphincter preservation based on mobile medicine included 3 themes of information,motivation,behavioral skills intervention,and 5 time periods of pre⁃intervention,pre⁃operative,postoperative 7 days,before discharge,home rehabilitation,involving 37 items.Conclusions:The remote intervention scheme for intestinal symptoms of patients with rectal cancer after sphincter preservation based on mobile medicine was scientific and practical,and could be used to provide continuous and dynamic information support and telemedicine guidance for patients to meet the needs of discharged patients,

关 键 词：直肠癌 信息⁃动机⁃行为技巧模型 动机性访谈 肠道症状 移动医疗 德尔菲法 

分 类 号：R473.73[医药卫生—护理学]