中华护理杂志 ›› 2023, Vol. 58 ›› Issue (24): 2989-2995.DOI: 10.3761/j.issn.0254-1769.2023.24.007

• 专科实践与研究 • 上一篇    下一篇

宫颈癌术后患者随访清单的制订及应用

孙悦(), 王志敏, 胡颖, 葛静玲()   

  1. 110000 沈阳市 中国医科大学附属盛京医院第二微创妇科病房(孙悦,胡颖,葛静玲),第四心内科病房(王志敏)
  • 收稿日期:2023-01-30 出版日期:2023-12-20 发布日期:2023-12-19
  • 通讯作者: 葛静玲,E-mail:gejl@sj-hospital.org
  • 作者简介:孙悦:女,硕士,护士,E-mail:2500904716@qq.com

Development and application of a follow-up checklist for postoperative patients with cervical cancer

SUN Yue(), WANG Zhimin, HU Ying, GE Jingling()   

  • Received:2023-01-30 Online:2023-12-20 Published:2023-12-19

摘要:

目的 制订科学、规范的宫颈癌术后患者随访清单,为随访工作提供科学的工具支持。 方法 基于患者需求,通过文献回顾、半结构式访谈及小组讨论制订宫颈癌术后患者随访清单初稿;于2022年10月—12月采用德尔菲法对专家进行2轮函询,筛选专家意见并修改完善清单,形成随访清单终稿。采用便利抽样法,于2023年2月—3月选取辽宁省某三级甲等医院的8名护士和15例宫颈癌术后患者作为研究对象,由护士采用术后随访清单对患者进行电话随访,对制订的随访清单进行评价。 结果 2轮函询专家的积极系数分别为88.89%和100%;专家权威系数分别为0.88、0.89。第1轮专家函询一、二、三级指标的肯德尔和谐系数分别为0.177、0.245、0.179;第2轮分别为0.170、0.118、0.107(P<0.05)。最终形成的宫颈癌术后患者随访清单包括生理与日常生活支持、信息支持、心理支持和社会支持4项一级指标、12项二级指标及45项三级指标。护患双方均认为随访清单内容全面,具有较强的专业性和临床实用性。结论 宫颈癌术后患者随访清单结构合理,内容较全面,且具有可靠性、专科性和实用性,可为宫颈癌术后患者出院后的随访提供科学、规范的工具支持。

关键词: 宫颈癌, 随访, 德尔菲法, 清单, 延续性护理, 肿瘤护理

Abstract:

Objective To formulate a scientific and standardized follow-up checklist for postoperative patients with cervical cancer,and provide a scientific tool to support the follow-up work. Methods The first draft of the follow-up checklist was constructed through literature review and semi-structured interviews,and the final draft of the follow-up checklist was formed by conducting 2 rounds of correspondence with experts using the Delphi method from October to December 2022,screening experts’ opinions and revising and improving the checklist. The convenience sampling method was adopted to select 8 nurses and 15 patients with cervical cancer after surgery from a tertiary A hospital in Liaoning Province from February to March 2023 as the research subjects. The nurses made telephone follow-up visits to the patients with the postoperative follow-up list and evaluated the follow-up list.Results The positive coefficients of the experts in the 2 rounds of correspondence were 88.89% and 100%,respectively;the authoritative coefficients were 0.88 and 0.89,respectively;the Kendal harmony coefficient of the primary,secondary and tertiary indicators were 0.177,0.245 and 0.179 in the first round and 0.170,0.118 and 0.107 in the second round,respectively(P<0.05). The final follow-up checklist for postoperative patients with cervical cancer included 4 primary indicators of physical and daily life support,information support,psychological support,and social support,12 secondary indicators,and 45 tertiary indicators. Both nurses and patients believed that the follow-up list was comprehensive with strong professional and clinical practicability. Conclusion The follow-up checklist is reasonable in structure,comprehensive in content,and reliable,specialized and practical,which can provide a scientific and standardized tool to support post-discharge follow-up of patients with cervical cancer.

Key words: Cervical Cancer, Follow Up, Delphi Method, Checklist, Continuity of Care, Oncologic Nursing