摘要
目的构建乳腺癌根治术后化疗患者疲乏缓解方案。方法2020年8—10月参考疲乏缓解方面的文献及结合临床经验,构建了乳腺癌根治术后化疗患者疲乏缓解方案初稿,邀请国内21名乳腺外科医生、护理专家、心理学家、外科护理教师等进行了2轮德尔菲专家函询,通过分析专家积极系数、专家权威程度评价专家的可靠性,通过分析变异系数、肯德尔和谐系数评价专家意见的协调程度。结果第1轮、第2轮咨询问卷有效回收率均为100%,专家积极系数很高;第1轮、第2轮咨询专家权威系数分别为0.89、0.90(均>0.7),专家权威系数较高;第1轮中一级指标、二级指标的肯德尔和谐系数分别为0.160、0.086,均具有统计学意义(均P<0.05);第2轮中维度、一级指标、二级指标的肯德尔和谐系数分别为0.190、0.211、0.378,均具有统计学意义(均P<0.05),咨询问卷的各指标在2轮咨询过程中,肯德尔和谐系数均符合要求。第2轮各条目变异系数在0.04~0.12,满分率在28.57%~95.24%,均符合方案构建的指标筛查标准。最终稿的方案确定了3个维度、3个一级指标和16个三级指标。结论乳腺癌根治术后化疗患者疲乏缓解方案具有必要性、实用性及科学性,对于规范乳腺癌根治术后化疗患者疲乏缓解具有指导意义。
Objective To construct a plan for relieving fatigue in breast cancer patients undergoing chemotherapy.Methods We combined literature and clinical experience to construct a fatigue relief plan for breast cancer chemotherapy patients from August to October 2020.A total of 21 domestic two-glandular surgeons,nursing experts,and surgical nursing teachers were invited to conduct 2 rounds of Delphi expert letter inquiries,and analyzed the positive coefficient of experts and the degree of expert authority to evaluate the reliability of experts,and evaluated the coordination degree of expert opinions through the coefficient of variation and Kendall's harmony coefficient.Results The effective response rate of the two rounds of questionnaires was 100%,the enthusiasm coefficient of experts was very high.The authority coefficients of the 2 rounds of consulting experts were 0.89 and 0.90 respectively(all>0.7),expert authority coefficient was very high.The Kendall harmony coefficients of the first-level and second-level indicators in the first round were 0.160 and 0.086,statistically significant(all P<0.05).In the second round,the Kendalls harmony coefficients of dimension,first-level and second-level indicators were 0.190,0.211,0.378,statistically significant(all P<0.05).The coefficient of variation of each item in the second round was 0.04-0.12,and the full score rate was 28.57%-95.24%.All met the index screening standards established by the scheme.Finally,3 dimensions,3 first-level indicators and 16 third-level indicators were determined.Conclusions The fatigue relief plan for breast cancer chemotherapy patients has necessity,practicality and scientificity.lt has guiding significance for standardizing the fatigue relief of patients undergoing chemotherapy after radical mastectomy.
作者
高玉萍
刘美凤
亓秀梅
于成娥
李福霞
陈洪元
李瑞
Gao Yuping;Liu Meifeng;Qi Xiumei;Yu Cheng'e;Li Fuxia;Chen Hongyuan;Li Rui(Nursing Department,East Hospital of Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250001,China;Department of Health General Surgery,East Hospital of Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250001,China;Education Department,the First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Jinan 250001,China;Chemotherapy Department,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250001y China)
出处
《中国实用护理杂志》
2021年第21期1615-1622,共8页
Chinese Journal of Practical Nursing
基金
国家自然科学基金(81702880)。
关键词
乳腺肿瘤
化疗
疲乏
方案构建
Breast neoplasms
Chemotherapy
Fatigue
Plan construction
作者简介
通信作者:亓秀梅,Email:dycsd@126.com,电话:0531-68772921。
