摘要
目的以奥马哈系统为理论依据构建FOLFOX6化疗癌症患者不同时期的敏感指标体系。方法对便利抽样选取的100例FOLFOX6化疗癌症患者不同时期存在的症状进行调查分析,根据调查结果以奥马哈系统为理论基础,结合文献查阅、半结构访谈,初步构建适用于FOLFOX6化疗的癌症患者住院期间及化疗间歇期的护理敏感指标体系,通过Delphi专家咨询对指标体系进行信效度检测。结果采取FOLFOX6方案的癌症患者住院及出院后1天胃口差、恶心得分>4分,出院3d后疲乏得分最高,通过Dephi专家咨询法最终构建了适用于FOLFOX6化疗癌症患者的敏感指标体系,其中包含4个一级指标、18个二级指标、47个三级指标的住院期间敏感指标体系及4个一级指标、19个二级指标、60个三级指标的化疗间歇期敏感指标体系。结论该敏感指标,可用于FOLFOX6化疗的癌症患者不同时期护理需求的评价。
Objective To construct nursing assessment system in patients with cancer received FOLFOX6 chemotherapy at different periods by using Omaha theoretical guidance system.Method Total 100 patients with cancer receiving FOLFOX6 chemotherapy were investigated using MD.Anderson symptom inventory-Chinese(MDASI-C).Evaluation index were deleted,merged and supplied on the basis of literature analysis,semi-structured interview and the Omaha system to construct of nursing assessment system in patients with cancer received FOLFOX6 chemotherapy at different periods.Results The top severity of symptoms were lack of appetite and nausea during chemotherapy;weary was the highest score during the intermission of chemotherapy.The nursing assessment system in patients with cancer during chemotherapy was constructed containing 4 one-level indicators,18 secondary indicators and 47 third indicators and at intermission of chemotherapy was constructed containing 4 one-level indicators,19 secondary indicators and 60 third indicators by Delphi method.Conclusion The nursing assessment system in patients with cancer received FOLFOX6 chemotherapy at different periods were analyzed by Delphi could comprehensively reflect characteristic of cancer patients’nursing demand.
作者
郑杏
王艾君
Zheng Xing;Wang Aijun(Qilu Hospital of Shandong University,Jinan Shangdong 250012)
出处
《护士进修杂志》
2019年第18期1640-1643,共4页
Journal of Nurses Training
基金
山东大学齐鲁医院科研基金资助项目(编号:2017QLHL19)
