摘要
目的构建客观、科学和可行的居家口服化疗癌症患者自我管理评估指标,为医务人员有针对性地开展患者自我管理的教育工作提供依据,更好地保障口服化疗药患者安全。方法基于自我管理理论,2017年7月—2018年6月通过文献分析、半结构式访谈方法和专家小组讨论的方法初步拟定评估指标,采用德尔菲法,经过2轮对18名专家的函询确定居家口服化疗癌症患者自我管理评估指标。结果2轮问卷收回率均为100%,专家的积极性较高,专家权威系数为0.83,专家协调系数0.192(P<0.05),最终确定5个一级指标,38个二级指标。结论居家口服化疗癌症患者自我管理评估指标科学、可靠,便于医务人员了解患者的自我管理情况,为居家口服化疗癌症患者提供更加优质的护理。
Objective To construct the objective,scientific and practicable self-management assessment indicators for cancer patients with oral chemotherapy at home so as to provide a basis for medical staff to pertinently carry out self-management education and guarantee safety of patients with oral chemotherapy agents well.MethodsFrom July 2017 to June 2018,we preliminarily drew up the assessment indicators based on self-management theory by document analysis,semi-structured interviews and expert group discussion.And then,we determined the self-management assessment indicators for cancer patients with oral chemotherapy at home by two rounds of 18 experts enquiry with the method of Delphi.ResultsAmong two rounds of enquiry,the questionnaire recovery rate was 100%with high expert initiative.The expert authority coefficient and the coordination coefficient were 0.83 and 0.192 respectively(P<0.05).Finally,a total of 5 primary indicators and 38 secondary indicators were determined.ConclusionsThe self-management assessment indicators for cancer patients with oral chemotherapy at home are scientific and reliable which are convenient for medical staff to understand patients'self-management and to provide high quality of nursing for cancer patients with oral chemotherapy at home.
作者
彭琦
吴婉英
梁冠冕
吴怡
Peng Qi;Wu Wanying;Liang Guanmian;Wu Yi(Department of Colorectal Neoplasms Surgery,Zhejiang Cancer Hospital,Hangzhou 310022,China;Nursing Department,Zhejiang Cancer Hospital,Hangzhou 310022,China;Department of Head and Neck Neoplasms Surgery,Zhejiang Cancer Hospital,Hangzhou 310022,China;Department of Abdominal Medical Neoplasms,Zhejiang Cancer Hospital,Hangzhou 310022,China)
出处
《中华现代护理杂志》
2019年第10期1233-1237,共5页
Chinese Journal of Modern Nursing
基金
浙江省医药卫生科技骨干平台项目(2016RCA004)
2018年浙江省肿瘤医院青年科研基金立项(QN201804).
关键词
肿瘤
居家护理
口服化疗
自我管理
德尔菲法
指标构建
Neoplasms
Home care services
Oral chemotherapy
Self-management
Delphi methods
Indicators construction
