基于EPPM理论胃癌患者一级亲属胃癌筛查行为干预方案构建  

Construction of Behavioral Intervention Plan for Gastric Cancer Screening in First-Degree Relatives of Patients With Gastric Cancer Based on EPPM

作　　者：温秀梅[1] 苏丹 李霞[2] 王旭 刘李 唐媛[3] WEN Xiumei;SU Dan;LI Xia;WANG Xu;LIU Li;TANG Yuan(Department of General Surgery,People's Hospital of Yanjiang District,Ziyang City,Ziyang Sichuan 641300,China;Department of Thoracic Surgery and Oncology,People's Hospital of Yanjiang District,Ziyang City,Ziyang Sichuan 641300,China;Department of Nursing,Sichuan Cancer Hospital,Chengdu Sichuan 610041,China)

机构地区：[1]资阳市雁江区人民医院普外科,四川资阳641300 [2]资阳市雁江区人民医院胸外肿瘤科,四川资阳641300 [3]四川省肿瘤医院护理部,四川成都610041

出　　处：《中国卫生标准管理》2024年第15期106-109,共4页China Health Standard Management

基　　金：四川省护理学会2022年度四川省基层护理专项科研课题(JH22005)。

摘　　要：目的构建基于拓展平行过程理论(extended parallel process model,EPPM)的胃癌患者一级亲属胃癌筛查行为干预方案。方法2023年3—11月,在文献回顾和小组讨论的基础上形成基于EPPM理论的胃癌患者一级亲属胃癌筛查行为干预方案初稿,采用德尔菲专家函询法对18名专家进行2轮函询,形成干预方案终稿。结果2轮专家函询共构建2个一级指标、4个二级指标和27个三级指标的筛查干预方案。专家权威系数分别为0.822、0.884;2轮函询的肯德尔协调系数分别为0.176、0.373,差异有统计学意义(P<0.001)。结论构建的基于EPPM理论的胃癌患者一级亲属胃癌筛查行为干预方案具有可靠性和实用性,以期为胃癌患者一级亲属胃癌筛查行为干预提供借鉴依据。Objective To develop an intervention program for gastric cancer screening behavior among first-degree relatives of gastric cancer patients based on the extended parallel process model(EPPM).Methods From March to November 2023,Based on a literature review and group discussions,developed a preliminary intervention program for gastric cancer screening behavior among first-degree relatives of gastric cancer patients using the Delphi expert consultation method involving 18 experts in two rounds of consultations to form the final version of the intervention program.Results Two rounds of expert consultations resulted in the construction of an intervention program consisting of two primary indicators,four secondary indicators,and twenty-seven tertiary indicators for screening.The authority coefficients were 0.822 and 0.884 respectively.Kendall's coefficient values from the two rounds were 0.176 and 0.373,with statistically significant differences(P<0.001).Conclusion The developed intervention program based on the Extended Parallel Process Theory is reliable and practical,providing a reference basis for interventions targeting gastric cancer screening behavior among first-degree relatives of gastric cancer patients.

关 键 词：胃癌 一级亲属 拓展平行过程 筛查行为 干预方案 德尔菲法 

分 类 号：R735[医药卫生—肿瘤]