肿瘤化疗病人护理敏感性结局指标的构建  

Construction of nursing sensitivity outcome index for cancer chemotherapy patients

作　　者：蒋蕾 周婷 李莉 华琳 蒋妮 陶静楠 孙晓敏 严梅 关琼瑶 JIANG Lei;ZHOU Ting;LI Li;HUA Lin;JIANG Ni;TAO Jingnan;SUN Xiaomin;YAN Mei;GUAN Qiongyao(Yunnan Cancer Hospital,t he Third Affiliated Hospital of Kunming Medical University,Yunnan 650100 China)

机构地区：[1]云南省肿瘤医院(昆明医科大学第三附属医院),云南650100

出　　处：《护理研究》2024年第4期597-603,共7页Chinese Nursing Research

基　　金：云南省科技厅科技计划项目,编号:202101AY070001-179。

摘　　要：目的:构建具有科学性、专科性、适用性的肿瘤化疗病人护理敏感性结局指标。方法:以奥马哈系统和护理结局分类为理论依据,采用文献研究初步拟定条目,结合临床现状调查对所拟定条目进行扩充与修订,通过小组讨论形成肿瘤化疗病人护理敏感性结局指标条目池。应用德尔菲专家函询法实施专家函询,确立肿瘤化疗病人护理敏感性结局指标,运用层次分析法确定各级指标的权重。结果:3轮专家函询问卷的回收率分别为100.0%、90.9%、100.0%;专家权威系数分别为0.913,0.955,0.955;3轮专家函询肯德尔协调系数(Kendall’s W值)分别为0.203~0.250,0.247~0.261,0.205~0.225,均P<0.05。最终确立的肿瘤化疗病人护理敏感性结局指标包括4个一级指标、13个二级指标、43个三级指标。结论:构建的肿瘤化疗病人敏感性指标具有科学性、可靠性、权威性、专科性及实用性,各级指标的权重分配合理,可用于测量病人护理结局,为量化、评价护理措施实施效果提供参考依据。Objective:To construct a scientific,specialized and applicable nursing sensitivity outcome index for cancer chemotherapy patients.Methods:Based on the Omaha system and the nursing outcomes classification,a preliminary entry pool was developed through literature research,and the proposed entry pool was expanded and revised through clinical status investigation.A pool of nursing sensitivity outcome indicators for cancer chemotherapy patients was formed through group discussion.The Delphi expert letter consultation method was used to establish nursing sensitivity outcome indicators for cancer chemotherapy patients,and the weights of each level of indicators were determined by analytic hierarchy process.Results:The recovery rates of three rounds of expert letter inquiry were 100.0%,90.9%and 100.0%,respectively.The expert authority coefficients were 0.913,0.955 and 0.955,respectively.Kendall's W of three rounds of expert correspondence consultation were 0.203⁃0.250,0.247⁃0.261 and 0.205⁃0.225,respectively,and the results were statistically significant(P<0.05).The nursing sensitivity outcome index for cancer chemotherapy patients was finally constructed,including 4 first⁃level indexes,13 second⁃level indexes and 43 third⁃level indexes.Conclusions:The nursing sensitivity outcome index for cancer chemotherapy patients was scientific,reliable,authoritative,specialized,and practical,and the weights distribution of all levels of indicators was reasonable.It can be used to measure patient nursing outcomes and provide reference for quantifying and evaluating the effect of nursing measures.

关 键 词：肿瘤护理 化疗 护理敏感性结局指标 奥马哈系统 护理结局分类 德尔菲法 

分 类 号：R473.73[医药卫生—护理学]