肿瘤患者质子放疗全程护理专家共识

doi:10.3761/j.issn.0254-1769.2026.12.007

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (12): 1637-1643.DOI: 10.3761/j.issn.0254-1769.2026.12.007

肿瘤患者质子放疗全程护理专家共识

中华护理学会肿瘤护理专业委员会, 中国抗癌协会放射治疗整合护理专业委员会, 山东省护理学会肿瘤护理专业委员会（执笔：孟英涛¹(), 张晓菊², 陆宇晗³^,^*(), ）

¹ 山东第一医科大学附属肿瘤医院护理部济南市 250117
² 复旦大学附属肿瘤医院护理部上海市 200032
³ 北京大学肿瘤医院护理部北京市 100142

收稿日期:2025-08-29 出版日期:2026-06-20 发布日期:2026-06-12
*通讯作者: 陆宇晗，E-mail：Protonrad2023@126.com
作者简介:孟英涛：女，硕士，副主任护师，护理部主任，E-mail：mengyt20210816@163.com
基金资助:
山东第一医科大学附属肿瘤医院学科集群创新工程扶持计划项目(FC010)

Expert consensus on comprehensive nursing care for tumor patients undergoing proton radiotherapy

¹ Nursing Department， Shandong First Medical University Affiliated Cancer Hospital， Jinan 250117， China
² Nursing Department， Fudan University Shanghai Cancer Center， Shanghai 200032， China
³ Nursing Department， Peking University Cancer Hospital， Beijing 100142， China

Received:2025-08-29 Online:2026-06-20 Published:2026-06-12
* Corresponding author: LU Yuhan，E-mail：Protonrad2023@126.com
Funding program:
Collaborative Academic Innovation Project of Shandong Cancer Hospital(FC010)

1. “肿瘤患者质子放疗全程护理专家共识”全文.pdf(1212KB)

摘要/Abstract

摘要：

目的制订肿瘤患者质子放疗全程护理专家共识（以下简称“共识”），为临床护理实践提供规范化指导。方法成立“共识”制订小组，在系统回顾国内外文献的基础上拟订初稿。2025年5—8月，对来自肿瘤临床医疗、质子放疗技术、肿瘤临床护理或护理管理领域的23名专家进行2轮函询，并通过线上专家论证会及定稿会，形成“共识”终稿。结果 2轮函询的有效问卷回收率分别为95.65%、100%，专家意见的肯德尔和谐系数分别为0.719和0.945（均P<0.001）。第2轮专家函询中，“共识”条目的重要性评分为（4.77±0.59）分，满分率为95.50%，变异系数为0.068~0.139，专家的权威系数为0.896。最终形成的“共识”包括质子放疗前护理、质子放疗中护理、质子放疗后护理和儿童质子放疗护理4个部分的内容。结论 “共识”具有一定的科学性和实用性，可为质子放疗相关临床护理实践提供参考。

关键词: 肿瘤, 质子放疗, 专家共识, 护理

Abstract:

Objective To develop an expert consensus on comprehensive nursing care for cancer patients undergoing proton radiotherapy，providing standardized guidance for clinical nursing practice. Methods A consensus working group was established，and an initial draft was prepared based on a systematic review of relevant domestic and international literature. From May to August 2025，2 rounds of Delphi consultation were conducted with 23 experts from the fields of tumor clinical medicine，proton radiotherapy technology，tumor nursing，and nursing management. The draft was further refined through online expert review and finalization meetings，resulting in the final version of the consensus. Results The effective response rates for the 2 rounds of Delphi consultations were 95.65% and 100%，respectively. The Kendall’s coefficients of concordance were 0.719 and 0.945（both P<0.001）. In the second-round consultation，the mean importance rating of the consensus items was（4.77±0.59） points，with a full-score rate of 95.50% and a coefficient of variation ranging from 0.068 to 0.139. The expert authority coefficient was 0.896. The finalized consensus includes 4 sections，namely pre-proton radiotherapy nursing，nursing during proton radiotherapy，post-proton radiotherapy nursing，and pediatric proton radiotherapy nursing. Conclusion The consensus demonstrates both scientific rigor and practical applicability，and it can serve as an important reference for clinical nursing practice in proton radiotherapy.

Key words: Neoplasms, Proton Radiotherapy, Expert Consensus, Nursing Care

中华护理学会肿瘤护理专业委员会, 中国抗癌协会放射治疗整合护理专业委员会, 山东省护理学会肿瘤护理专业委员会（执笔：孟英涛, 张晓菊, 陆宇晗, ）. 肿瘤患者质子放疗全程护理专家共识[J]. 中华护理杂志, 2026, 61(12): 1637-1643.

Oncology Nursing Professional Committee of Chinese Nursing Association , Integrative Nursing Professional Committee of Chinese Anti⁃Cancer Association , Oncology Nursing Professional Committee of Shandong Nursing Association（Writing Committee: MENG Yingtao, ZHANG Xiaoju, LU Yuhan, ）. Expert consensus on comprehensive nursing care for tumor patients undergoing proton radiotherapy[J]. Chinese Journal of Nursing, 2026, 61(12): 1637-1643.

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肿瘤患者质子放疗全程护理专家共识

Expert consensus on comprehensive nursing care for tumor patients undergoing proton radiotherapy

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