Development of a follow-up checklist for patients after liver transplantation
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.
end-stage liver diseaseliver transplantationfollow-up checklistfollow-upcontinuity of careDelphi methodinterviews
万方数据
维普
