摘要
目的构建^(131)Ⅰ治疗甲状腺癌患者被服清洁解控方案,为临床被服清洁解控的开展提供借鉴。方法通过临床调研、文献研究、影响因素分析、半结构访谈和课题组讨论,构建^(131)Ⅰ治疗甲状腺癌患者被服清洁解控方案初稿。采用德尔菲专家咨询法,选取30名专家进行2轮专家咨询,结合研究小组讨论构建^(131)Ⅰ治疗患者被服清洁解控方案。结果2轮专家咨询问卷回收率均为100%,第2轮咨询中,各条目的变异系数为0.00~0.24,重要性得分为4.13~5.00分,专家权威系数为0.867,一级、二级、三级指标的肯德尔和谐系数分别为0.475、0.420、0.292(均P<0.05),形成的^(131)Ⅰ治疗甲状腺癌患者被服清洁解控方案包括5个一级指标、20个二级指标、59个三级指标。结论^(131)Ⅰ治疗甲状腺癌患者被服清洁解控方案构建过程规范严谨,可为临床^(131)Ⅰ治疗甲状腺癌患者被服的清洁解控提供指引。
Objective To construct a bedding and clothing cleaning up/decontamination protocol for thyroid cancer patients on^(131)Ⅰ therapy, and to provide reference for clinical management of bedding and clothing used by these patients.Methods Through clinical investigation, literature study, analysis of influencing factors, semi-structured interviews and group discussions, the draft of bedding and clothing cleaning up/decontamination protocol for thyroid cancer patients on^(131)Ⅰ therapy was constructed.Then 30 experts were selected to join 2 rounds of Delphi expert consultation, and finally the protocol was constructed.Results The response rate of the two rounds of expert consultation questionnaire was 100%(30/30).In the second round of expert consultation, the coefficient of variation of each item was between 0.00 and 0.24, the significance scores was between 4.13 and 5.00;expert authority coefficient was 0.867, Kendall′s coefficients of concordance for first-level, second-level and third-level indicators were 0.475, 0.420 and 0.292, respectively(all P<0.05), and the finalized protocol included 5 first-level indicators, 20 second-level indicators and 59 third-level indicators.Conclusion The establishment process of the bedding and clothing cleaning up/decontamination protocol for thyroid cancer patients on^(131)Ⅰ therapy is rigorous, and the protocol can provide guidance for clinical management of bedding and clothing used by thyroid cancer patients on^(131)Ⅰ therapy.
作者
施冰梓
杨素云
辛笛诺
王蒙婷
Shi Bingzi;Yang Suyun;Xin Dinuo;Wang Mengting(Nursing School of Shanxi Medical University,Taiyuan 030001,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第3期40-45,共6页
Journal of Nursing Science
基金
中华医学会杂志社2021-2022年护理学科研究课题(CMAPH-NRI2021046)
山西省知识产权局专利转化专项计划项目(202202065)。
关键词
甲状腺癌
^(131)Ⅰ
放射性碘治疗
被服
清洁解控
德尔菲法
辐射防护
护理管理
thyroid cancer
^(131)Ⅰ
radioactive iodine therapy
bedding and clothing
cleaning up/decontamination
Delphi method
radiation protection
nursing management
作者简介
施冰梓,女,硕士在读,学生;通信作者:杨素云,yangsuyunyun@aliyun.com。
