摘要
目的:构建老年口腔癌患者围术期口腔护理方案。方法:在前期指南内容分析、医护患相关人群深入访谈的基础上,根据老年口腔癌患者的临床特点、治疗阶段,结合PDCA循环,构建老年口腔癌患者围术期口腔护理方案初稿,采用德尔菲法对16位相关领域专家进行2轮函询,以确定方案。采用Excel 2016、SPSS 25.0软件包进行统计描述和统计分析。结果:2轮专家咨询回收率均为100%,整体专家权威系数为0.84。经过2轮专家咨询,各指标的变异系数为0~0.240,整体协调系数为0.171,形成了术前、术后、放化疗时期3个阶段的口腔护理方案。术前阶段包括4个维度,12个一级条目,56个二级条目;术后阶段包括4个维度,18个一级条目,102个二级条目;放化疗阶段包括4个维度,13个一级条目,35个二级条目。结论:老年口腔癌患者围术期口腔护理方案符合老年口腔癌围术期患者特点,能够满足该群体的口腔护理需求,方案构建具有可靠性,能为临床实践提供参考。
PURPOSE: To construct an oral care program for elderly patients with oral cancer during perioperative period.METHODS: Based on the content analysis of the guidelines and personal in-depth interviews of the doctors, nurses and patients, according to the clinical characteristics of the elderly patients with oral cancer and treatments, combined with PDCA cycle, the first draft of perioperative oral care program for the elderly patients with oral cancer was constructed.Delphi method was used to carry out two rounds of mail inquiry to 16 experts in related fields to determine the scheme.Excel 2016, SPSS 25.0 software package were used for statistical description and analysis. RESULTS: The questionnaire return rate of the two rounds of expert consultation was 100% and the overall expert authority coefficient was 0.84. After two rounds of expert consultation, the variation coefficient of each index was 0-0.240, and the overall coordination coefficient was 0.171. The oral care program was formed in three stages: preoperative, postoperative, and during radiotherapy and chemotherapy. The preoperative stage included 4 dimensions, 12 first-level items, 56 second-level items;the postoperative stage included 4 dimensions, 18 first-level items, 102 second-level items;the radiochemotherapy stage included 4 dimensions, 13 first-level items and 35 second-level items. CONCLUSIONS: The perioperative oral care program of the elderly patients with oral cancer accords with the characteristics of the elderly patients with oral cancer during perioperative period, which meets the oral care needs of this group of patients. The construction of the program is reliable and provides a reference for clinical practice.
作者
郑窑文
蒋莉莉
胡嘉乐
杨文玉
阮洪
ZHENG Yao-wen;JIANG Li-li;HU Jia-le;YANG Wen-yu;RUAN Hong(Shanghai Jiao Tong University School of Nursing.Shanghai 200025,China;Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011,China;University of Ottawa,School of Nursing.Ottawa K1N6N5,Canada)
出处
《上海口腔医学》
CAS
CSCD
北大核心
2020年第2期192-201,共10页
Shanghai Journal of Stomatology
基金
上海市科学技术委员会科研项目(16411951300)
上海市卫生和计划生育委员会科研项目(201640329)。
关键词
老年
口腔癌
围术期
口腔护理
德尔菲法
Elderly people
Oral cancer
Perioperative period
Oral care
Delphi method
作者简介
郑窑文(1993-),女,在读硕士研究生,E-mail:jsgjzxzyw@163.com;通信作者:阮洪,E-mail:ruanhong2003@163.com。
