自体造血干细胞移植术后患者护理随访清单的构建及初步应用  

Construction of a nursing follow-up checklist for patients undergoing autologous hematopoietic stem cell transplantation

作　　者：王婷[1] 王佳婷 金爱云[2] 朱霞明[3] 方云 汪靖 田菲 濮益琴[7] 万滢 贺瑾 颜霞[1] WANG Ting;WANG Jiating;JIN Aiyun;ZHU Xiaming;FANG Yun;WANG Jing;TIAN Fei;PU Yiqin;WAN Ying;HE Jin;YAN Xia

机构地区：[1]北京大学人民医院血液科,北京市101109 [2]浙江大学医学院附属第一医院血液科 [3]苏州大学附属第一医院血液科 [4]华中科技大学同济医学院附属协和医院血液科 [5]上海交通大学医学院附属瑞金医院血液科 [6]中国医学科学院血液病医院血液科 [7]江苏省人民医院血液科 [8]华中科技大学同济医学院附属同济医院血液科 [9]天津市肿瘤医院血液科

出　　处：《中华护理杂志》2025年第8期914-920,共7页Chinese Journal of Nursing

摘　　要：目的构建自体造血干细胞移植术后患者护理随访清单(以下简称“护理随访清单”),为术后随访提供科学依据。方法采用循证方法,检索各指南网站及数据库,评价文献质量,提取相关条目,初步拟订护理随访清单初稿。于2023年4月—6月邀请13个地区14所三级甲等医院的15名相关领域专家进行德尔菲专家函询,结合专家意见及临床实际,进行修改、完善,并在20例自体造血干细胞移植术后患者中进行初步应用,形成护理随访清单终稿。结果2轮函询专家积极系数均为100%,专家权威系数为0.815,肯德尔系数分别为0.119和0.144,差异均有统计学意义(P<0.001)。19例患者认为随访内容全面,随访护士对该护理随访清单的满意率>85%。最终的护理随访清单包括6项一级条目、27项二级条目、61项三级条目,各指标变异系数均<0.25。结论该研究构建的护理随访清单具有全面性、科学性、可靠性和实用性,能够为护士开展自体造血干细胞移植术后患者的随访和全面管理提供依据。Objective To construct a nursing follow-up checklist for patients undergoing autologous hematopoietic stem cell transplantation,providing a basis for postoperative follow-up care.Methods Using evidence-based methods,the literature from major guide websites and databases using Chinese and English search terms was retrieved,and their quality was evaluated.The relevant items were extracted,and a first draft was formed.15 experts were selected in relevant fields from 14 tertiary hospitals in 13 provinces,cities,and autonomous regions across the country for Delphi inquiry.The nursing follow-up checklist was revised again based on expert opinions and clinical practice.The nursing follow-up checklist was initially applied and then revised again to form the final draft.Results 15 experts include 12 undergraduate and 3 master’s degree holders.The positivity coefficients of the 2 rounds of inquiry were 100%;the authority coefficients of the experts were 0.815;the Kendall coefficients were 0.119 and 0.144,respectively;the differences were statistically significant(P<0.001).The final nursing follow-up checklist was formed,which includes 6 primary indicators,including physiological status,psychological status,social and family support,living conditions,disease knowledge,and laboratory tests.19 patients(95%)found the follow-up content to be comprehensive.The follow-up nurses’s satisfaction rate exceeded 85%.There were 27 secondary indicators and 61 tertiary indicators,with coefficients of variation of all indicators less than 0.25.Conclusion The nursing follow-up checklist is scientific,reliable,and practical,which can provide a basis for clinical nursing staff to follow up and comprehensively manage patients after autologous hematopoietic stem cell transplantation.

关 键 词：循证护理学 德尔菲技术 自体造血干细胞移植 随访清单 护理 

分 类 号：R473.6[医药卫生—护理学]