基于德尔菲法喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案的构建  

Construction of an inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients based on Delphi method

作　　者：南方 肖倩[1] 田梓蓉[3] 龙海欣[2] 王春苗[2] 李新楠 Nan Fang;Xiao Qian;Tian Zirong;Long Haixin;Wang Chunmiao;Li Xinnan(School of Nursing,Capital Medical University,Beijing 100069,China;Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Nursing Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学护理学院,北京100069 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730 [3]首都医科大学附属北京同仁医院护理部,北京100730

出　　处：《中华现代护理杂志》2024年第25期3439-3444,共6页Chinese Journal of Modern Nursing

基　　金：北京市医院管理中心2021年度“培育计划”(PX2021009);首都医科大学附属北京同仁医院院内基金(2020-YJJ-HLL-003);首都医科大学2023年度数智护理基础临床协同研究专项课题(SZHL23M04)。

摘　　要：目的构建喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案。方法于2022年6月-2023年5月,通过文献检索与分析,初步拟定喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案;采用德尔菲法对喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案进行2轮专家函询。结果共纳入15名专家进行2轮专家函询。2轮专家函询的问卷有效回收率均为100.0%(15/15);2轮函询的专家权威系数分别为0.885、0.855,肯德尔和谐系数分别为0.217、0.230(P<0.01);最终形成的喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案包括一级条目3项(吞咽训练阶梯、吞咽训练方法和摄食指导方法)、二级条目21项、三级条目35项。结论基于德尔菲法构建的喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案具有一定的科学性、可行性,可为医护人员提供参考。Objective To construct an inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients.Methods From June 2022 to May 2023,a preliminary program for inpatient-outpatient-home step swallowing rehabilitation training for partial laryngectomy patients was developed through literature search and analysis.Delphi method was used for two rounds of expert inquiry on the inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients.Results A total of 15 experts were included for two rounds of expert inquiry.The effective response rates of the questionnaires from the two rounds of expert inquiries were 100.0%(15/15).The expert authority coefficients for the two rounds of inquiry were 0.885 and 0.855,respectively,and the Kendall harmony coefficients were 0.217 and 0.230,respectively(P<0.01).The final inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients included three primary items(swallowing training step,swallowing training methods,and feeding guidance methods),21 secondary items,and 35 tertiary items.Conclusions The inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients based on the Delphi method has certain scientific and feasibility and can provide a reference for medical and nursing staff.

关 键 词：喉切除术 德尔菲法 吞咽康复训练 

分 类 号：R473.76[医药卫生—护理学]