摘要
目的基于症状管理理论及德尔菲法构建宫颈癌根治术后患者症状管理方案,为临床实践提供参考。方法基于循证理念汇总宫颈癌根治术后患者症状管理的最佳证据,以症状管理理论为框架,将最佳证据与临床实际相结合,形成方案草案。通过德尔菲法修订方案,并取医、护、患各10名进行方案适用性评价,根据收集意见完善方案。结果宫颈癌根治术后患者症状管理方案包括膀胱功能障碍、肠道功能障碍、性功能障碍、下肢淋巴水肿4个宫颈癌根治术后常见症状内容,共9个方面。结论本研究构建的宫颈癌根治术后患者症状管理方案,方案构建过程严谨,具有较高的科学性及可靠性,可为临床应用提供参考。
Objective To formulate a symptom management scheme for cervical cancer patients after radical hysterectomy and provide references for clinical practice.Methods The best evidence of symptom management for cervical cancer patients after radical hysterectomy was summarized based on the evidence-based concept.A drafted scheme was formulated by integrating the evidence with clinical practice based on the framework of symptom management theory.The draft was revised with Delphi method.Then 10 doctors,10 nurses,and 10 patients were enrolled for applicability evaluation and their suggestions were adopted to finalize the theme.Results A symptom management scheme for cervical cancer patients after radical hysterectomy was developed.It consisted of the management of 4 common symptoms,including bladder dysfunction,bowel dysfunction,sexual dysfunction,and lymphedema of lower limb.Conclusions This study proposed a symptom management scheme for cervical cancer patients after radical hysterectomy.The scheme,rigorously formulated,is scientific and reliable,and thus it can provide references for clinical practice.
作者
陈果
张成娟
何佳丽
陈翠萍
江佩雯
李展
洪旖旎
Chen Guo;Zhang Chengjuan;He Jiali;Chen Cuiping;Jiang Peiwen;Li Zhan;Hong Yini(Department of Gynecology and Obstetrics,Guangzhou First People’s Hospital,Guangzhou,510180,China)
出处
《现代临床护理》
2023年第8期56-63,共8页
Modern Clinical Nursing
基金
广州市卫生健康科技项目(西医类一般引导项目),项目编号为20231A010001。
关键词
宫颈癌根治术
症状管理
膀胱功能障碍
肠道功能障碍
下肢淋巴水肿
循证护理
radical hysterectomy
symptom management
bladder dysfunction
bowel dysfunction
lower extremity lymphedema
evidence-based nursing
