中华护理杂志 ›› 2023, Vol. 58 ›› Issue (13): 1541-1543.DOI: 10.3761/j.issn.0254-1769.2023.13.001

• 安宁疗护专题 •    下一篇

安宁疗护家庭会议专家共识

中华护理学会安宁疗护专业委员会(执笔:许湘华(), 谌永毅(), 肖亚洲, 朱丽辉, 刘翔宇, 李旭英, 应文娟, 何瑞仙, 袁玲, 项伟岚, 胡成文, 刘东英, 成琴琴, 颜逸霞)   

  1. 410000 长沙市 湖南省肿瘤医院健康服务中心(许湘华,刘翔宇),护理部(谌永毅,李旭英,成琴琴,颜逸霞),院长办公室(肖亚洲),副书记办公室(朱丽辉);汕头大学医学院第一附属医院护理部(应文娟);中国医学科学院肿瘤医院护理部(何瑞仙);南京大学医学院附属鼓楼医院护理部(袁玲);浙江大学医学院附属邵逸夫医院护理部(项伟岚);安徽医科大学附属省立医院护理部(胡成文);郑州大学附属肿瘤医院护理部(刘东英)
  • 收稿日期:2023-02-02 出版日期:2023-07-10 发布日期:2023-06-29
  • 通讯作者: 谌永毅,E-mail:414700595@qq.com
  • 作者简介:许湘华:女,博士,副主任护师,E-mail:16962508@qq.com
  • 基金资助:
    湖南省科技厅重点领域研发计划-重点研发(2020SK2121);湖南省自然科学基金-面上项目(2020JJ4417);湖南省肿瘤医院科研攀登计划资助2020年度重点研发基金(YF2020010)

Expert consensus on family meeting in palliative care/Palliative Care Committee of Chinese Nursing Association

(WritingCommittee:XU Xianghua(), CHEN Yongyi(), XIAO Yazhou, ZHU Lihui, LIU Xiangyu, LI Xuying, YING Wenjuan, HE Ruixian, YUAN Ling, XIANG Weilan, HU Chengwen, LIU Dongying, CHENG Qinqin, YAN Yixia)   

  • Received:2023-02-02 Online:2023-07-10 Published:2023-06-29

摘要:

目的 形成“安宁疗护家庭会议专家共识”(以下简称“共识”),为安宁疗护的从业人员实施家庭会议提供参考。 方法 成立“共识”编写小组,系统检索、评价和提取安宁疗护家庭会议相关证据,形成“共识”初稿,通过2轮专家咨询和2轮专家论证会,整理和分析专家意见,修改和完善初稿,形成“共识”终稿。 结果 第1轮咨询的专家积极系数为92.11%,第2轮为100%;专家判断系数为0.95,熟悉程度系数为0.89,权威系数为0.92;2轮咨询的肯德尔和谐系数分别为0.157和0.253,均具有统计学意义(P<0.001)。最终形成的“共识”包括适用范围、术语和定义、基本要求、实施家庭会议的时机、家庭会议前准备、家庭会议的实施、记录与随访、注意事项8个方面。 结论 该“共识”实用性较强,可为安宁疗护家庭会议的规范实施提供指导。

关键词: 家庭会议, 安宁疗护, 终末期, 专家共识, 护理

Abstract:

Objective To form an expert consensus on family meeting in palliative care and provide references for the staff engaged in palliative care to implement family meeting. Methods A consensus drafting group was set up to systematically search,evaluate and extract evidence related to family meeting in palliative care to form a draft consensus. After 2 rounds of Delphi expert consultation and expert demonstration meetings,expert opinions were sorted out and analyzed,the rough draft was revised,and then the final consensus draft was formed. Results The positive coefficient of the first round of expert consultation was 92.11%,and the second round was 100%. The coefficient of expert judgment was 0.95;the degree of familiarity was 0.89;the degree of authority coefficient was 0.92. The Kendall’s coefficients of the 2 rounds of consultation were 0.157 and 0.253,which were statistically significant(P<0.001). The final consensus consisted of 8 aspects,including the scope,terms and definitions,basic requirements,timing of family meetings,preparation before meetings,implementation of meetings,records and follow-up,and precaution. Conclusion The consensus is practical,and it can provide guidance for the standardized implementation of family meeting in palliative care.

Key words: Family Meeting, Palliative Care, End-of-Life, Expert Consensus, Nursing Care