卵巢癌术后患者自我管理问题清单的构建及应用研究  

Construction and application of a self-management question prompt list for ovarian cancer postoperative patients

作　　者：王奕 王小惠 王娟 王晓峰 葛静玲[1] WANG Yi;WANG Xiaohui;WANG Juan;WANG Xiaofeng;GE Jingling

机构地区：[1]中国医科大学附属盛京医院第二微创妇科,沈阳市110000 [2]赣州市人民医院胃肠疝外科 [3]赣州市人民医院肝胆外科 [4]中国医科大学护理学院

出　　处：《中华护理杂志》2025年第7期806-812,共7页Chinese Journal of Nursing

摘　　要：目的制订卵巢癌术后患者自我管理问题清单并进行初步应用,以满足患者信息需求,提高其自我管理水平。方法通过文献回顾、半结构式访谈拟订清单初稿;于2023年9月—11月,采用德尔菲法进行2轮专家函询,结合专家意见对清单条目进行修订和完善,确定清单终稿。于2023年12月—2024年2月,采用便利抽样法,选取辽宁省某三级甲等医院妇科肿瘤病房的28例卵巢癌术后患者为应用对象,比较清单应用前后自我护理能力量表的得分,同时,调查28名医护人员对清单实施效果的满意度。结果2轮专家函询的有效问卷回收率分别为95%、100%;专家权威系数分别为0.92、0.90;肯德尔和谐系数分别为0.284、0.302(均P<0.001)。最终形成的卵巢癌术后患者自我管理问题清单包括疾病与治疗(11个条目)、术后康复及日常照护(13个条目)、身体症状管理(9个条目)、心理社会支持(7个条目)、预后信息(5个条目)5个维度,共45个条目。初步应用结果显示,清单应用前后患者自我护理能力得分比较,差异具有统计学意义(t=14.92,P<0.001);医护人员的清单实施效果满意度评价量表各条目满意率为92.86%~100%。结论制订的卵巢癌术后患者自我管理问题清单条目内容全面,具有针对性和实用性,能够调动患者收集信息的主观能动性,提高疾病自我管理能力。Objective To develop and apply a self-management question prompt list for ovarian cancer postoperative patients to meet patients’information needs and promote the level of self-management.Methods The draft of the list was prepared through literature review and semi-structured interviews.From September to November 2023,the Delphi method was adopted to conduct 2 rounds of correspondence,and the list items were revised and improved based on expert opinions,and the final list was confirmed.From December 2023 to February 2024,a total of 28 ovarian cancer postoperative patients in a tertiary A hospital in Liaoning Province were conveniently selected as application subjects.The changes in patients’self-care ability before and after application were compared,and the evaluation of 28 medical staff on the implementation effect of the checklist was investigated.Results The effective questionnaire recovery rates were 95%and 100%;the expert authority coefficients were 0.92 and 0.90;the Kendall harmony coefficients were 0.284 and 0.302,respectively,all P<0.001.The final list included 5 dimensions,including 11 items of disease and treatment,13 items of postoperative and daily care,9 items of physical symptom management,7 items of psychosocial support,and 5 items of prognosis information,with a total of 45 questions.The preliminary application results showed that there was a statistically significant difference in the scores of patients’self-care ability before and after the application of the checklist(t=14.92,P<0.001),and the satisfaction rate of the evaluation items of the implementation effect of the checklist was 92.86%~100%.Conclusion The contents of the list items are comprehensive,targeted and practical,which can mobilize patients’subjective initiative of seeking information and improve self-management ability.

关 键 词：卵巢癌 信息需求 自我管理 问题提示清单 肿瘤护理 

分 类 号：R473.73[医药卫生—护理学]