摘要
目的:构建以卵巢癌病人需求为导向的术后出院计划实施方案,为临床制定全面、科学的卵巢癌术后病人出院计划的相关实施方案提供参考.方法:采用文献分析法、整合卵巢癌术后病人出院计划方案、结合临床实践和术后实际需求,制定术后出院计划实施方案,通过德尔菲法对18名专家进行2轮函询,根据专家函询意见修改完善,形成最终出院计划实施方案.结果:2轮专家函询问卷的有效率回收率均为100％(18/18);18名相关专家的学术水平系数、评估依据系数以及权威系数分别为0.978、0.896和0.955.根据文献收集、临床实践和术后实际需求形成术后出院计划实施方案初稿,经过2轮专家咨询及研究小组讨论后,最终以卵巢癌病人入院阶段、住院阶段、出院阶段、出院后随访等时段作为框架构建10大干预模块.结论:构建以卵巢癌病人需求为导向的术后出院计划实施方案,内容覆盖全面且具有一定科学性和可行性,可为卵巢癌病人手术病人的出院计划实施方案制定提供参考.
Abstract
Objective:To construct a demand-oriented implementation program of postoperative discharge plan for ovarian cancer patients,and to provide reference for the development of comprehensive and scientific implementation program of postoperative discharge plan for ovarian cancer patients.Methods:The implementation program of postoperative discharge plan was developed by literature analysis,integrating the discharge plan of postoperative patients with ovarian cancer,and combining clinical practice and actual postoperative needs.The implementation program of postoperative discharge plan was developed by conducting 2 rounds of letter consultation with 18 experts through Delphi method,modifying and improving according to the opinions of experts in the letter,and the final discharge plan was formed.Results:The effective recovery rate of 2 rounds of expert letter questionnaire was 100％ (18/18).The academic level coefficient,evaluation basis coefficient and authority coefficient of 18 relevant experts were 0.978,0.896 and 0.955,respectively.According to literature collection,clinical practice and actual postoperative needs,the draft implementation program of postoperative discharge plan was developed.After two rounds of expert consultation and discussion by the research group,10 major intervention modules were finally constructed based on the admission stage,hospitalization stage,discharge stage and post-discharge follow-up of ovarian cancer patients as the framework.Conclusions:The construction of the implementation program of postoperative discharge plan oriented to the needs of ovarian cancer patients is comprehensive,scientific and feasible,and can provide reference for the implementation program of discharge plan for ovarian cancer patients undergoing surgery.
基金项目
安徽省六安市人民医院科研课题青年项目(2024lakj037)
维普
万方数据