甲状腺癌术后内分泌治疗患者远程居家照护方案的构建

doi:10.16460/j.issn1008-9969.2019.10.001

摘要/Abstract

摘要： 目的构建甲状腺癌术后内分泌治疗患者远程居家照护方案。方法通过纵向研究探求甲状腺癌术后内分泌治疗患者需求发生的变化规律,基于文献回顾、纵向需求调查及专家会议构建方案初稿,采用德尔菲法对15名专家进行2轮专家咨询,构建甲状腺癌术后内分泌治疗患者远程居家照护方案。结果 2轮专家积极系数分别为94%和100%;专家权威系数分别为0.847和0.860。第2轮咨询中专家意见的协调系数为0.294（P<0.001）。最终形成纵向需求为导向多学科协作的个体化远程照护方案,其中标准化护理剂量包括一级指标4项,二级指标14项,三级指标53项。结论本研究构建的方案经检验,专家咨询意见集中,结果科学可靠,能为开展甲状腺癌术后内分泌治疗患者的远程居家照护实践提供依据。

关键词: 甲状腺肿瘤, 远程医疗, 居家照护, 德尔菲技术

Abstract: Objective To construct a tele-homecare program for thyroid cancer patients with postoperative endocrine treatment. Methods Longitudinal study was conducted to explore the changing rule of the demand of thyroid cancer patients with postoperative endocrine treatment. The draft of the programe was developed after literature review, longitudinal need survey and expert meeting. Delphi method was used to conduct two rounds of expert consultation in 15 experts then the final version was constructed. Results The positive coefficients of experts in the two rounds of consultation were 94% and 100% respectively, and the authoritative coefficients were 0.847 and 0.860, respectively. The coordination coefficient of expert advice in the second round of consultation was 0.294 (P<0.001). Finally, an individualized, longitudinal demand-oriented and multi-professional team collaborated telehomecare programe was formed, of which standardized nursing dosage included 4 first-level, 14 second-level and 53 third-level indicators. Conclusion Being scientific and reliable, the developed programe can be used as a basis for the practice of tele-homecare for thyroid cancer patients with postoperative endocrine treatment.

Key words: thyroid cancer, telemedicine, home care, Delphi technique

中图分类号:

R473.2

王晶晶, 梁爱华, 齐小芬, 张会敏, 徐艳, 孟红艳. 甲状腺癌术后内分泌治疗患者远程居家照护方案的构建[J]. 护理学报, 2019, 26(10): 1-6.

WANG Jing-jing, LIANG Ai-hua, QI Xiao-fen, ZHANG Hui-min, XU Yan, MENG Hong-yan. Tele-homecare Program for Thyroid Cancer Patients with Postoperative Endocrine Treatment[J]. Journal of Nursing, 2019, 26(10): 1-6.

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