Construction of preoperative nutrition management scheme for patients with ovarian cancer based on evidence and Delphi method
Objective To construct preoperative nutritional management scheme for ovarian cancer patients,and to provide reference for preoperative nutritional management of ovarian cancer patients.Methods Evidence-based methods were used to summarize the best evidence,draft the preoperative nutrition management scheme,and determine the management scheme after group discussion and modification combined with Delphi expert letter consultation.Results 24 experts were invited to conduct two rounds of expert letter consultation at an interval of 4 weeks.All questionnaires were effectively collected.The expert familiarity with the questionnaire was 0.950,and the expert authority coefficient was 0.856.Kendall's W coefficients of the importance and feasibility of the last round of expert opinions were 0.463 and 0.364(P<0.001)respectively.The importance score of each item in the questionnaire was4.43~5.00,the full score rate was 52.17%~100.00%,and the coefficient of variation of each item was 0~0.159.Finally,a preoperative nutrition management scheme was formed,which included 4 first-level items,10 second-level items and 46 third-level items.Conclusion The preoperative nutrition management scheme of ovarian cancer is scientific and practical,and can provide reference for clinical nutrition nursing practice of ovarian cancer patients.