基于时机理论口腔癌同期皮瓣移植术患者出院准备服务方案的构建  

Establishment of timing theory-based discharge preparation service scheme for patients with oral cancer undergoing concurrent flap transplantation

作　　者：周陶[1] 李九群[2] 雷静 王雪娇 丁小容[2] ZHOU Tao;LI Jiu-qun;LEI Jing;WANG Xue-jiao;DING Xiao-rong(Dept.of Oral and maxillofacial Surgery,Peking University Shenzhen Hospital,Shenzhen 518036,China;Dept.of Nursing Administration,Peking University Shenzhen Hospital,Shenzhen 518036,China)

机构地区：[1]北京大学深圳医院口腔颌面外科,广东深圳518036 [2]北京大学深圳医院护理部,广东深圳518036

出　　处：《护理学报》2023年第13期69-73,共5页Journal of Nursing（China）

基　　金：北京大学深圳医院三名工程(SZSM202111013);北京大学深圳医院临床研究面上项目(LCYJ2021012)。

摘　　要：目的构建口腔癌同期皮瓣移植术患者出院准备服务方案,为临床护理实践工作提供参考依据。方法以时机理论为指导,通过文献回顾拟定方案初稿,经过2轮德尔菲专家函询对专家意见进行修改确定最终干预方案。结果2轮函询专家积极性均为100%,专家权威系数Cr均>0.7,第2轮函询条目重要性及可行性的肯德尔和谐系数分别为0.140和0.128(P<0.05);最终方案包括5个一级指标、15个二级指标、52个三级指标。结论通过德尔菲法构建基于时机理论的口腔癌同期皮瓣移植术患者出院准备服务干预方案具有科学性和可靠性,可为临床出院准备服务提供参考。Objective To establish the discharge preparation service scheme for patients with oral cancer undergoing concurrent flap transplantation,and to provide reference for clinical nursing practice.Methods With the guidance of timing theory,the draft of the scheme was formed through literature review,and the final scheme was determined by revising the expert opinions after two rounds of Delphi expert consultation.Results The expert enthusiasm of the two rounds of correspondence was 100%;the expert authority coefficient Cr was>0.7,and the Kendall harmony coefficient of the importance and feasibility of the second round of correspondence items was 0.140 and 0.128,respectively(P<0.05).The final scheme consisted of 5 first-level,15 second-level,and 52 third-level indicators.Conclusion The discharge preparation service scheme for patients with oral cancer undergoing concurrent flap transplantation is scientific and reliable,and it can provide reference for clinical discharge preparation service.

关 键 词：时机理论 口腔癌 手术 出院准备服务方案 

分 类 号：R473.76[医药卫生—护理学]