摘要
目的构建基于Watson关怀理论下终末期肿瘤患者预立医疗照护计划(ACP)辅助干预体系,以期为终末期肿瘤患者ACP实践提供依据。方法通过半结构式访谈建立"Watson关怀理论下的终末期肿瘤患者ACP辅助干预体系"条目池,运用德尔菲专家函询法对条目进行评价、修正、补充,形成最终版"终末期肿瘤患者ACP辅助干预体系"。计算专家积极系数、权威系数,采用肯德尔和谐系数和变异系数评价专家意见一致程度。结果构建的最终版"终末期肿瘤患者ACP辅助干预体系"包括4个维度共19个条目,其中准备期7个条目、启动期6个条目、执行期4个条目、善后期2个条目。2轮函询问卷的有效回收率均为100%。函询专家的权威系数为0.835。各条目的变异系数0~0.21,2轮函询的肯德尔和谐系数分别为0.290和0.267。结论本研究构建的终末期肿瘤患者ACP辅助干预体系较为科学,体现了Watson关怀理论,对临床ACP实施具有一定参考意义。
Objective To construct advance care planning(ACP)interventions for end-stage cancer patients based on Watson care theory,so as to provide basis for ACP practice in end-stage cancer patients.Methods Semi-structured interviews were conducted to establish items pool for"ACP interventions based on Watson care theory for end-stage cancer patients".Delphi expert inquiry method was used to evaluate,revise and supplement the items,and the final version of"ACP interventions for end-stage cancer patients"was formed.The positive coefficient and authority coefficient of experts were calculated,and Kendall harmony coefficient and variation coefficient were used to evaluate the degree of expert consensus.Results The"ACP interventions for end-stage cancer patients"was constructed with 19 items in 4 dimensions,including 7 items in the preparation phase,6 items in the initiation phase,4 items in the execution phase and 2 items in the follow-up phase.The effective recovery rates of the 2 rounds of questionnaire were both 100%.The authority coefficient of expert consultation was 0.835.The coefficient of variation of each item was 0 to 0.21.The Kendall harmony coefficients of the two rounds of consultation were 0.290 and 0.267,respectively.Conclusions The ACP interventions for end-stage tumor patients constructed in this study has good authority and coordination,and reflects Watson care theory,which has certain reference significance for clinical ACP implementation.
作者
李慧锋
徐凯佳
贾芳芳
王子辰
刘东玲
Li Huifeng;Xu Kaijia;Jia Fangfang;Wang Zichen;Liu Dongling(Department of Medical Oncology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China)
出处
《中华现代护理杂志》
2021年第18期2463-2467,共5页
Chinese Journal of Modern Nursing
基金
河南省软科学研究计划项目(2019GGJS008)。
