Abstract:

Objective To develop an expert consensus on shared palliative care management for adults to standardize clinical service processes and promote the high-quality implementation of shared palliative care in China. Methods A consensus drafting group was established to systematically search international and domestic guideline websites and databases for relevant evidence on shared palliative care management for adults. Based on the evidence summary，a preliminary draft of the consensus was developed. From April 2024 to February 2025，a total of 2 rounds of expert Delphi consultations and 2 expert panel discussions were conducted to refine and improve the content based on expert opinions，ultimately forming the final version of the consensus. Results The effective questionnaire recovery rates of the 2 rounds of consultation were 87.50% and 94.29%； the expert opinion submission rates were 100% and 81.82%；the coefficient of expert authority was 0.88； the coefficients of Kendall harmony in 2 rounds were 0.128 and 0.134 （both P<0.001）； the mean importance scores of the items ranged from 4.54 to 4.97 and from 4.73 to 5.00，and the coefficients of variation ranged from 0.03 to 0.20 and from 0 to 0.13. The finalized consensus comprises 9 primary domains，including the scope，terms and definitions，fundamental requirements，service environment，service team，target population，service process，service content，and quality control. Conclusion The consensus demonstrates a high level of scientific rigor and provides a structured framework for the standardized implementation of shared palliative care management for adults in China.

Key words: Palliative Care, Shared Care, End of Life, Expert Consensus, Nursing Care

摘要：

目的 制订成人安宁疗护患者多学科共同照护管理专家共识（以下简称“共识”），以规范临床服务流程，推动安宁疗护的高质量开展。 方法 成立“共识”编写小组，系统检索国内外指南网站、相关专业学会网站及数据库，提取有关成人安宁疗护患者多学科共同照护管理的证据，形成“共识”初稿。2024年4月—2025年2月，通过2轮专家函询和2轮专家论证，对“共识”内容进行修改与完善，形成“共识”终稿。 结果 2轮专家函询的有效问卷回收率分别为87.50%、94.29%，专家意见提出率为100%、81.82%，专家的权威系数均为0.88，肯德尔和谐系数为0.128、0.134（均P<0.001），各条目的重要性评分均数为4.54~4.97、4.73~5.00分，变异系数为0.03~0.20、0~0.13。最终形成的“共识”包括适用范围、术语和定义、基本要求、服务环境、服务团队、服务对象、服务流程、服务内容、质量控制9个方面的内容。 结论 该“共识”的科学性较强，可为国内成人安宁疗护患者多学科共同照护的规范管理提供指导。

关键词: 安宁疗护, 共同照护, 生命末期, 专家共识, 护理