胃癌患者术前预康复方案的构建  

Construction of preoperative rehabilitation program for gastric cancer patients

作　　者：陈莉[1] 傅巧美[2] 许莹莹 刘苗苗 朱欢欢[1] 徐美玲[1] 管文贤[1] Chen Li;Fu Qiaomei;Xu Yingying;Liu Miaomiao;Zhu Huanhuan;Xu Meiling;Guan Wenxian(Department of Gastric Surgery,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210009,China)

机构地区：[1]南京大学医学院附属鼓楼医院胃外科,南京210009 [2]南京大学医学院附属鼓楼医院外科,南京210009

出　　处：《中国实用护理杂志》2023年第1期23-30,共8页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(82172645);南京大学医院管理研究所医院管理课题(NDYG 2020036);2020年南京鼓楼医院立项护理科研课题(ZSB210-3)。

摘　　要：目的构建胃癌患者术前预康复方案,旨在为胃癌患者提供科学、合理的术前指导。方法在文献研究和专家小组会议的基础上,构建胃癌患者术前预康复方案初稿。2021年10月至2022年1月,选取来自江苏省内11所医院的16名相关领域专家进行2轮德尔菲专家函询,按照专家函询意见对条目进行修改。结果2轮专家函询中,专家积极系数分别为88.89%、100.00%,专家权威系数均为0.88,2轮函询条目的肯德尔协调系数分别为0.279、0.290,最终形成的方案包括3个一级条目,11个二级条目,32个三级条目。结论本研究构建的胃癌患者术前预康复方案具有科学性、可靠性及实用性,值得临床进一步推广。Objective To construct a preoperative rehabilitation program for gastric cancer patients,aiming to provide scientific and reasonable preoperative guidance for gastric cancer patients.Methods On the basis of literature research and expert group meeting,the first draft of the preoperative rehabilitation program for gastric cancer patients was constructed.From October 2021 to January 2022,the Delphi method was used to conduct 2 rounds of expert letter inquiries to 16 experts in related fields from 11 hospitals in Jiangsu Province,and the entries were revised according to the experts′inquiries.Results In the two rounds of expert correspondence,the positive coefficients of experts were 88.89%and 100.00%,and the authority coefficients of experts were both 0.88.The coordination coefficients of the items in the two rounds of inquiry were 0.279 and 0.290,respectively.The final program consisted of 3 first-level entries,11 second-level entries and 32 third-level entries.Conclusions The scheme constructed in this study is scientific,reliable and applicable,and is worth being promoted further in clinical practice.

关 键 词：胃肿瘤 德尔菲技术 预康复 术前康复 

分 类 号：R735.2[医药卫生—肿瘤]