Abstract:

Objective To construct a training program of sexual health care for patients with cervical cancer for gynecological oncology nurses,and provide references for the theoretical research and clinical practice of improving the sexual health care ability of gynecological oncology nurses for patients with cervical cancer. Methods Based on literature review and qualitative interview,the first draft of a letter inquiring about the training program of sexual health care on cervical cancer patients for gynecological oncology nurses was formulated. From September to December 2020,15 gynecological oncology medical experts,gynecological oncology nursing experts and sexual science experts from 4 provinces and cities of Beijing,Tianjin,Shanghai and Jilin Province were interviewed by Delphi experts for 2 rounds to formulate the training program of sexual health care on cervical cancer patients for gynecological oncology nurses. Results The effective recovery rates of 2 rounds of expert consultations were 93.75% and 100%. The authority coefficients of the authority coefficients were 0.843 and 0.853.The Kendall’ W was 0.429 and 0.326. The coefficient of variation of items in the second round was 0~0.115,and the full score rate is 20%~100%.The constructed training program of sexual health care on cervical cancer patients for gynecological oncology nurses consists of 3 parts,among which the training content includes 6 first-level indicators,16 second-level indicators,48 third-level indicators,and 6 training methods and 6 assessment methods. Conclusion The process of constructing training program of sexual health care on cervical cancer patients for gynecological oncology nurses is authentic and reliable,with distinctive specialty features,various training methods and assessment methods,which can meet the needs of sexual health care training for gynecological oncology nurses,and can promote the scientific and standardized development of sexual health care.

Key words: Cervical Cancer, Sexual Health Care, Nurse Training, Program Construction, Delphi Method, Oncologic Nursing

摘要：

目的 构建针对妇科和肿瘤科护士的宫颈癌患者性健康护理培训方案,为提高其对宫颈癌患者性健康护理能力及相关临床实践提供参考。 方法 在文献检索、半结构式访谈的基础上拟订针对妇科和肿瘤科护士的宫颈癌患者性健康护理培训方案初稿。2020年9月—12月对来自北京市、天津市、上海市及吉林省4个省（市）的15名妇科肿瘤医疗专家、妇科肿瘤护理专家、健康教育专家、性科学专家进行2轮德尔菲专家函询,制订针对妇科和肿瘤科护士的宫颈癌患者性健康护理培训方案。 结果 2轮专家函询问卷的有效回收率分别为93.75%和100%,专家权威系数分别为0.843和0.853,肯德尔和谐系数分别为0.429、0.326;第2轮函询各条目的变异系数为0~0.115,满分率为20.0%~100%。最终确定的针对妇科和肿瘤科护士的宫颈癌患者性健康护理培训方案包括3个部分,其中方案内容包含6项一级指标、16项二级指标和48项三级指标;培训方式以及考核方法各6项。 结论 针对妇科和肿瘤科护士的宫颈癌患者性健康护理培训方案构建过程科学、可靠,内容专科特色明显,培训方式及考核方法形式多样,能够满足妇科和肿瘤科护士对该类患者性健康护理培训的需要,可促进性健康护理的科学及规范化发展。

关键词: 宫颈癌, 性健康护理, 护士培训, 方案构建, 德尔菲函询法, 肿瘤护理