摘要
目的构建腹腔镜结直肠癌根治术后患者早期下床活动方案。方法通过循证护理方法结合临床实际情况拟定腹腔镜结直肠癌根治术后患者早期下床活动方案初稿。2022年8—10月,采用德尔菲法对15名专家进行2轮函询,形成腹腔镜结直肠癌根治术后患者早期下床活动方案终稿。结果 2轮函询的专家积极系数均为100%,权威系数分别为0.86、0.87,肯德尔和谐系数分别为0.241、0.167(P<0.001)。最终形成的方案包含前言和正文两部分,方案正文包含2个一级条目、10个二级条目、42个三级条目。结论本研究构建的腹腔镜结直肠癌根治术后患者早期下床活动方案具有一定的科学性和实用性,可为临床医护人员指导腹腔镜结直肠癌根治术后患者早期下床活动提供依据。
Objective To construction the early ambulation scheme for patients after laparoscopic colorectal cancer surgery.Methods Based on evidence-based nursing method combined with clinical practice,the draft of early ambulation scheme for patients after laparoscopic colorectal cancer surgery was prepared.From August to October 2022,two rounds of correspondence were conducted with 15 experts by Delphi method,and the final draft of early ambulation scheme for patients after laparoscopic colorectal cancer surgery was formed.Results The coefficient of expert positivity in the two rounds of correspondence was 100%,the coefficient of authority was respectively 0.86 and 0.87,and the Kendall cofficient of concordance was 0.241 and 0.167(P<0.001).The final scheme consisted of preface and text.The text of the scheme contained 2 first-level items,10 second-level items and 42 third-level items.Conclusions The early ambulation scheme for patients after laparoscopic colorectal cancer surgery in this study is scientific and feasible,providing references for clinical medical staff to guide early getting out of bed activities for patients after laparoscopic colorectal cancer surgery.
作者
罗晨
黄楚贤
赵冬琴
张昊
沈雨晴
沈玲
Luo Chen;Huang Chuxian;Zhao Dongqin;Zhang Hao;Shen Yuqing;Shen Ling(Department of General Surgery,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China;Department of Gastrointestinal Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,China;School of Nursing,Fudan University,Shanghai 200032,China;Department of Nursing,Children's Hospital of Chongqing Medical University,Chongqing 400014,China)
出处
《中华现代护理杂志》
2023年第25期3435-3440,共6页
Chinese Journal of Modern Nursing
基金
上海交通大学医学院附属新华医院护理学科骨干人才项目(xhlgg009)。
关键词
结直肠癌
早期下床活动
腹腔镜
方案构建
德尔菲法
Colorectal cancer
Early ambulation
Laparoscop
Scheme construction
Delphi method
