关键词: 卵巢癌, 信息需求, 自我管理, 问题提示清单, 肿瘤护理

Abstract:

Objective To develop and apply a self-management question prompt list for ovarian cancer postoperative patients to meet patients’ information needs and promote the level of self-management. Methods The draft of the list was prepared through literature review and semi-structured interviews. From September to November 2023，the Delphi method was adopted to conduct 2 rounds of correspondence，and the list items were revised and improved based on expert opinions，and the final list was confirmed. From December 2023 to February 2024，a total of 28 ovarian cancer postoperative patients in a tertiary A hospital in Liaoning Province were conveniently selected as application subjects. The changes in patients’ self-care ability before and after application were compared，and the evaluation of 28 medical staff on the implementation effect of the checklist was investigated. Results The effective questionnaire recovery rates were 95% and 100%；the expert authority coefficients were 0.92 and 0.90；the Kendall harmony coefficients were 0.284 and 0.302，respectively，all P<0.001. The final list included 5 dimensions，including 11 items of disease and treatment，13 items of postoperative and daily care，9 items of physical symptom management，7 items of psychosocial support，and 5 items of prognosis information，with a total of 45 questions. The preliminary application results showed that there was a statistically significant difference in the scores of patients’ self-care ability before and after the application of the checklist（t=14.92，P<0.001），and the satisfaction rate of the evaluation items of the implementation effect of the checklist was 92.86%~100%. Conclusion The contents of the list items are comprehensive，targeted and practical，which can mobilize patients’ subjective initiative of seeking information and improve self-management ability.

Key words: Ovarian Cancer, Information Needs, Self-Management, Question Prompt List, Oncologic Nursing