结直肠癌患者术后早期安全下床活动评估指标体系的构建
| 作者: |
1,2杨燕飞,
3赵春艳
1 同济大学医学院，上海 200092 2 宁海县第一医院胃肠外科，浙江 宁波 315600 3 同济大学附属上海市东方医院心内科，上海 200120 |
| 通讯: |
赵春艳
Email: 53513953@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2022.02.017 |
| 基金: | 上海市东方医院护理领航人才培养计划 (2019hllhrcj)。 |
摘要
目的：构建结直肠癌患者术后早期安全下床活动评估指标体系。方法：采用结构-过程-结果三维质量评估理论为框架，通过文献分析法初步形成评估指标条目池，经过两轮德尔菲法函询，一共有10名专家对各项指标和权重进行修改和筛选，并对各项结果进行统计分析。结果：两轮德尔菲法专家函询后，问卷有效回收率为100%，第1轮专家对一、二、三级指标的肯德尔和谐系数分别为1.000、0.373、0.449；第2轮专家对一、二、三级指标的肯德尔和谐系数分别为1.000、0.837、0.535。结论：各咨询专家的意见较集中，可信度高，可以作为结直肠癌患者术后早期安全下床活动评估的标准，但后续还需进一步进行临床验证。
关键词：
早期下床活动；安全；评估；指标；德尔菲法
Construction of evaluation index system for safe early-postoperative ambulation for colorectal cancer patients
CorrespondingAuthor: ZHAO Chunyan Email: 53513953@qq.com
DOI: 10.3978/j.issn.2095-6959.2022.02.017
Foundation: This work was supported by Shanghai Oriental Hospital Nursing Leader Talent Training Program, China (2019hllhrcj).
Abstract
Objective: To construct an evaluation index system for safe early-postoperative ambulation in patients with colorectal cancer. Methods: Using the structure-process-outcome three-dimensional quality assessment as the framework, the evaluation index pool was preliminarily formed through literature analysis. After two rounds of Delphi consultation, a total of 10 experts revised and screened the evaluation index and weights, and the results were analyzed. Results: After two rounds of Delphi expert consultation, the effective response rate of the questionnaires was 100%. The first round of experts’ Kendall’s concordance coefficients on the first, second and third level index were 1.000, 0.373 and 0.449, respectively; and the second round of experts’ Kendall’s concordance coefficients on the first, second and third level indicators were 1.000, 0.837, 0.535, respectively. Conclusion: Since experts’ opinions are consistent and reliable, it could be used as an evaluation standard for safe early-postoperative ambulation for colorectal cancer patients, but further clinical studies are needed to verify the application.
Keywords：
early ambulation; safety; assessment; index; Delphi method