肝移植术后患者随访清单的构建  

Development of a follow-up checklist for patients after liver transplantation

作　　者：刘莹[1] 于颖[1] 崔亚娟[1] 李京[1] 关雪 刘名鹤 Liu Ying;Yu Ying;Cui Yajuan;Li Jing;Guan Xue;Liu Minghe(The First Unit of Department of Hepatobiliary and Pancreatic Surgery,The First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院肝胆胰外一科,吉林长春130021

出　　处：《护理学杂志》2024年第24期37-41,共5页Journal of Nursing Science

基　　金：吉林大学第一医院2024年护理科研基金项目(HLKY20240202)。

摘　　要：目的构建肝移植术后患者随访清单,为医护人员完善随访提供有效支持。方法采用文献回顾、半结构式访谈及专家小组讨论构建肝移植术后患者随访清单初稿;采用德尔菲法进行2轮专家函询对清单内容修订后形成随访清单终稿。对10例肝移植术后患者使用构建的随访清单进行面对面随访,并选取6名参与随访的护士进行访谈,对清单内容进行评价和完善。结果肝移植术后患者随访清单包括生理状况及日常生活指导、心理状况及信息支持、医疗服务和社会支持4项一级指标、15项二级指标及51项三级指标。2轮专家函询的积极系数分别为93.75%、100%,专家权威系数为0.93、0.94;2轮一、二、三级指标的肯德尔和谐系数分别为0.317、0.146、0.209和0.265、0.248、0.217(均P<0.05)。访谈的护患双方均认为随访清单内容合理全面,具有较强的专业性和临床实用性。结论构建的肝移植术后患者随访清单结构合理,内容较全面,能为肝移植术后患者出院随访方案的制订与实施提供参考。Objective To develop a follow-up checklist for patients after liver transplantation,and to provide effective support for healthcare professionals in improving follow-up practices.Methods A draft of the follow-up checklist was constructed through literature review,semi-structured interviews,and expert panel discussions.The Delphi method was employed for two rounds of expert consultation,leading to revisions and the finalization of the checklist.Six liver transplant nurses were selected for face-to-face interviews and ten patients post-liver transplantation were selected for face-to-face follow-ups,during which the contents of the checklist were evaluated and refined.Results The follow-up checklist for patients post-liver transplantation included 4 primary indicators:physiological status and daily living guidance,psychological status and informational support,medical services,and social support,along with 15 secondary indicators and 51 tertiary indicators.The response rates from the two rounds of expert consultation were 93.75%and 100%,with expert authority coefficients of 0.93 and 0.94.The Kendall concordance coefficients for the first and second round for the primary,secondary,and tertiary indicators were 0.317,0.146,0.209,and 0.265,0.248,0.217,respectively(all P<0.05).Both nurses and patients expressed that the checklist contents were reasonable and comprehensive,de-monstrating strong professionalism and clinical practicality.Conclusion The developed follow-up checklist for patients after liver transplantation is structurally sound and content-rich,providing a reference for formulating and implementing follow-up plans for patients post-discharge.

关 键 词：终末期肝病 肝移植 随访清单 随访 延续性护理 德尔菲法 访谈 

分 类 号：R473.6[医药卫生—护理学]