关键词: 安心卡, 认知性访谈, 德尔菲技术, 安宁疗护, 肿瘤护理

Abstract:

Objective To revise the heart to heart card and explore its application in patients with advanced cancer. Methods From July to September 2022，Delphi technology and cognitive interview method were adopted to conduct cultural adjustment of heart to heart card. Convenience sampling method was adopted to select advanced cancer patients who were hospitalized in a tertiary cancer hospital in Hubei Province in October 2022 as research objects，and feedback on the application of the heart to heart card was collected. Results The effective recovery rate of the 2 rounds of expert correspondence questionnaires was 100%；the expert authority coefficients were 0.92；the Kendall harmony coefficients were 0.215 and 0.100，respectively. The coefficient of variation of each item in the second round of correspondence is 0~0.186. Combined with the results of 3 rounds of cognitive interviews，the heart to heart card consists of 54 items in 4 dimensions，including physical needs，social needs，psychological needs and spiritual needs. The application effect is good in 15 patients with advanced cancer. Conclusion The culturally adjusted heart to heart card is scientific and practical，and can be used as a tool to assess the needs of patients with advanced cancer.

Key words: Heart to Heart Card, Cognitive Interview, Delphi Technology, Palliative Care, Oncologic Nursing