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

摘要：

目的 对安心卡进行文化调试，并探讨其在晚期癌症患者中的应用效果。 方法 2022年7月—9月，采用专家咨询、认知性访谈法对安心卡进行文化调试。采用便利抽样法，选取2022年10月在湖北省某三级甲等肿瘤专科医院住院的晚期癌症患者作为应用对象，收集其应用安心卡的反馈。 结果 2轮专家咨询的有效问卷回收率均为100%，专家权威系数均为0.92，肯德尔和谐系数分别为0.215与0.100（均P<0.001）。第2轮咨询中，各条目的变异系数为0~0.186。结合3轮认知性访谈结果形成的安心卡包括身体需求、社会需求、心理需求、精神需求4个维度，共54个条目，且在15例晚期癌症患者中的应用效果较好。结论 经文化调试后的安心卡具有科学性和实用性，可作为晚期癌症患者需求的评估工具。

关键词: 安心卡, 认知性访谈, 德尔菲技术, 安宁疗护, 肿瘤护理