摘要
目的 构建肝移植术后患者随访清单,为医护人员完善随访提供有效支持.方法 采用文献回顾、半结构式访谈及专家小组讨论构建肝移植术后患者随访清单初稿;采用德尔菲法进行2轮专家函询对清单内容修订后形成随访清单终稿.对10例肝移植术后患者使用构建的随访清单进行面对面随访,并选取6名参与随访的护士进行访谈,对清单内容进行评价和完善.结果 肝移植术后患者随访清单包括生理状况及日常生活指导、心理状况及信息支持、医疗服务和社会支持4项一级指标、15项二级指标及51项三级指标.2轮专家函询的积极系数分别为93.75％、100％,专家权威系数为0.93、0.94;2轮一、二、三级指标的肯德尔和谐系数分别为0.317、0.146、0.209和0.265、0.248、0.217(均P＜0.05).访谈的护患双方均认为随访清单内容合理全面,具有较强的专业性和临床实用性.结论 构建的肝移植术后患者随访清单结构合理,内容较全面,能为肝移植术后患者出院随访方案的制订与实施提供参考.
Abstract
Objective To develop a follow-up checklist for patients after liver transplantation,and to provide effective support for healthcare professionals in improving follow-up practices.Methods A draft of the follow-up checklist was constructed through literature review,semi-structured interviews,and expert panel discussions.The Delphi method was employed for two rounds of expert consultation,leading to revisions and the finalization of the checklist.Six liver transplant nurses were selected for face-to-face interviews and ten patients post-liver transplantation were selected for face-to-face follow-ups,during which the contents of the checklist were evaluated and refined.Results The follow-up checklist for patients post-liver transplantation included 4 primary indi-cators:physiological status and daily living guidance,psychological status and informational support,medical services,and social support,along with 15 secondary indicators and 51 tertiary indicators.The response rates from the two rounds of expert consulta-tion were 93.75％and 100％,with expert authority coefficients of 0.93 and 0.94.The Kendall concordance coefficients for the first and second round for the primary,secondary,and tertiary indicators were 0.317,0.146,0.209,and 0.265,0.248,0.217,respectively(all P＜0.05).Both nurses and patients expressed that the checklist contents were reasonable and comprehensive,de-monstrating strong professionalism and clinical practicality.Conclusion The developed follow-up checklist for patients after liver transplantation is structurally sound and content-rich,providing a reference for formulating and implementing follow-up plans for patients post-discharge.
维普
万方数据