目的 构建基于症状体验模型的肺癌患者术后自我报告症状管理方案,为肺癌术后患者的症状管理提供依据。方法 通过文献分析法构建了基于症状体验模型的肺癌患者术后自我报告症状管理方案初稿。2024年7—8月邀请15名来自5个不同省/市的胸外科领域专家进行2轮德尔菲函询,形成终稿。结果 2轮专家函询中,回收率分别为100%和93%,专家权威系数分别为0.993和0.997,肯德尔和谐系数分别为0.180和0.206,专家对方案的重要性评分较高。最终形成包含8条一级指标、18条二级指标、72条三级指标的管理方案。结论 基于症状体验模型的肺癌患者术后自我报告症状管理方案具有较强的科学性和实用性,有助于改善患者术后症状管理及结局。
Abstract
Objective To construct a self-reported symptom management program for lung cancer patients based on symptom experience model, and to provide reference for symptom management for lung cancer patients after surgery. Methods Literature analysis was conducted to construct the initial self-reported symptom management program for lung cancer patients based on symptom experience model. Fifteen experts from five different provinces in China were invited to participate in two rounds of Delphi consultation to finalize the program. Results The recovery rates were 100% and 93% in the 2 rounds of correspondence; the authority coefficients of the experts 0.993 and 0.997, and Kendall’s harmony coefficients 0.180 and 0.206, respectively. The experts gave high ratings to the importance of the program. The final program consisted of 8 first-level, 18 secondary-level, and 72 third-level indicators. Conclusion The self-reported symptom management program for lung cancer patients based on symptom experience model demonstrates high validity and feasibility, which can help improve patients’ symptom management and outcomes after surgery.
关键词
肺癌 /
手术后 /
自我报告 /
症状体验模型 /
症状管理 /
护理方案构建
Key words
lung cancer /
after surgery /
self-report /
symptom experience model /
symptom management /
nursing program construction
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基金
2024年厦门市医疗卫生指导性项目（3502Z20244ZD1079）
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