基于社会心理视角构建巩固强化期急性淋巴细胞白血病患儿症状群干预方案  

Development of an intervention program for symptom clusters in children with acute lymphoblastic leukemia during the consolidation and reinforcement phase from a sociopsychological perspective

作　　者：朱晶 方继红[1,2] 段明霞 徐靖 汪云云 Zhu Jing;Fang Jihong;Duan Mingxia;Xu Jing;Wang Yunyun(School of Nursing,Anhui Medical University,Hefei 230032,China;Department of Nursing,Anhui Provincial Children's Hospital,Hefei 230051,China;Department of Hematology and Oncology,Anhui Provincial Children's Hospital,Hefei 230051,China)

机构地区：[1]安徽医科大学护理学院,合肥230032 [2]安徽省儿童医院护理部,合肥230051 [3]安徽省儿童医院血液肿瘤科,合肥230051

出　　处：《中华现代护理杂志》2024年第14期1917-1922,共6页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2022-2023年护理学科研究课题(CMAPH-NRI2022006);安徽省科技创新战略与软科学研究专项项目(202206f01050043)。

摘　　要：目的从社会心理视角出发,构建基于症状管理理论的巩固强化期急性淋巴细胞白血病(ALL)患儿症状群干预方案。方法通过文献回顾与小组讨论,拟定巩固强化期ALL患儿症状群干预方案初稿。采用目的抽样法,选取20名专家作为函询对象。经过两轮德尔菲专家函询对相关指标进行修改、完善,形成巩固强化期ALL患儿症状群干预方案终稿。结果两轮专家函询问卷的有效回收率分别为80%(16/20)、100%(20/20),两轮函询专家权威系数分别为0.816、0.838,两轮函询专家的肯德尔协调系数分别为0.207、0.397(P均<0.01)。最终形成干预方案包括3项一级条目,7项二级条目,27项三级条目。结论基于社会心理视角构建的巩固强化期ALL患儿症状群干预方案具有一定的科学性、可靠性和可行性,可为ALL患儿症状管理提供指导和借鉴。Objective To develop an intervention program for symptom clusters in children with acute lymphoblastic leukemia(ALL)during the consolidation and reinforcement phase based on symptom management theory from a sociopsychological perspective.Methods An initial draft of the intervention program for symptom clusters in children with ALL during the consolidation and reinforcement phase was prepared through literature review and group discussions.Purposeful sampling was used to select 20 experts as respondents for a Delphi method consultation.After two rounds of expert consultations,adjustments and improvements were made to the relevant indicators,resulting in the final version of the intervention program.Results The effective response rates for the two rounds of expert consultations were 80%(16/20)and 100%(20/20),respectively.The authority coefficients for the experts were 0.816 and 0.838,while the Kendall's coordination coefficients were 0.207 and 0.397(P<0.01 for both rounds).The final intervention program comprised 3 primary items,7 secondary items,and 27 tertiary items.Conclusions The intervention program for symptom clusters in children with ALL during the consolidation and reinforcement phase,developed from a sociopsychological perspective,demonstrates scientific validity,reliability,and feasibility.It can offer guidance and reference for symptom management in children with ALL.

关 键 词：急性淋巴细胞白血病 儿童 巩固强化治疗 症状群 社会心理 

分 类 号：R733.71[医药卫生—肿瘤]