Abstract: Objective To develop continuing nursing evaluation system for patients with breast cancer based on Omaha System. Methods The draft of evaluation system was based on literature review and expert meeting. Delphi method was used to identify continuing nursing evaluation system by consulting with 29 experts, and 61 breast cancer patients were enrolled to provide comments regarding the draft. The application of the system was completed among 30 discharged breast cancer patients. Results The response rates of two rounds consultation were 100% and 93.5% ,respectively. The authority coefficient of experts in the second round was 0.844,and the coordination coefficients of two levels of indicators were 0.300,0.195, respectively (P<0.001). Experts and patients tended to have similar opinions on the contents. The evaluation system consisted of 8 sections and 63 indicators. The rate of usefulness on the evaluation system was 96.7% among breast cancer patients and 100% among nurses who worked in the referral institutions. Conclusion The continuing nursing evaluation system for patients with breast cancer is scientific and practical. It can be promoted further in clinical practice to guarantee continuous nursing.

Key words: Breast Neoplasms, Transitional Care, Nursing Evaluation Research

摘要： 目的 基于奥马哈系统理论构建并应用乳腺癌患者延续护理评价体系。方法 基于文献研究，结合奥马哈系统、专家会议拟订乳腺癌患者延续护理评价体系初稿，采用德尔菲法，对29名来自乳腺癌医疗、护理领域专家进行2轮专家函询，形成乳腺癌患者延续护理评价体系。选取61例乳腺癌患者对延续护理评价体系内容进行重要性评定，确定内容后应用于30例乳腺癌出院患者并进行效果评价。结果 2轮专家函询问卷回收率分别为100.0%和93.5%,第2轮专家函询中专家权威系数为0.844, —、二级指标协调系数分别为0.300和0.195(P<0.001)，专家、患者评定意见均趋于一致，最终构建的乳腺癌患者延续护理评价体系包括8个模块、63个评价指标。临床初步应用后，30例患者中有29例认为实用，转接单位的15名护理人员均认为实用。结论 本研究构建的乳腺癌患者延续护理评价体系内容科学、合理，可为乳腺癌患者延续护理服务的有效实施提供依据。

关键词: 乳腺肿瘤, 延续护理, 护理评价研究