关键词: 循证护理学, 德尔菲技术, 自体造血干细胞移植, 随访清单, 护理

Abstract:

Objective To construct a nursing follow-up checklist for patients undergoing autologous hematopoietic stem cell transplantation，providing a basis for postoperative follow-up care. Methods Using evidence-based methods，the literature from major guide websites and databases using Chinese and English search terms was retrieved，and their quality was evaluated. The relevant items were extracted，and a first draft was formed. 15 experts were selected in relevant fields from 14 tertiary hospitals in 13 provinces，cities，and autonomous regions across the country for Delphi inquiry. The nursing follow-up checklist was revised again based on expert opinions and clinical practice. The nursing follow-up checklist was initially applied and then revised again to form the final draft. Results 15 experts include 12 undergraduate and 3 master’s degree holders. The positivity coefficients of the 2 rounds of inquiry were 100%；the authority coefficients of the experts were 0.815；the Kendall coefficients were 0.119 and 0.144，respectively；the differences were statistically significant（P<0.001）. The final nursing follow-up checklist was formed，which includes 6 primary indicators，including physiological status，psychological status，social and family support，living conditions，disease knowledge，and laboratory tests. 19 patients（95%） found the follow-up content to be comprehensive. The follow-up nurses’s satisfaction rate exceeded 85%. There were 27 secondary indicators and 61 tertiary indicators，with coefficients of variation of all indicators less than 0.25. Conclusion The nursing follow-up checklist is scientific，reliable，and practical，which can provide a basis for clinical nursing staff to follow up and comprehensively manage patients after autologous hematopoietic stem cell transplantation.

Key words: Evidence-Based Nursing, Delphi Technique, Autologous Hematopoietic Stem Cell Transplantation, Follow-Up Checklist, Nursing Care