摘要
目的构建癌症患者照顾者预期性悲伤护理干预方案,旨在缓解悲伤情绪,提升生活质量和照护质量。方法基于预测丧亲结果的综合风险因素框架,结合最佳证据总结,形成癌症患者照顾者预期性悲伤护理干预方案初稿。2023年12月至2024年4月对北京、辽宁、吉林和香港地区的15名专家进行两轮Delphi专家函询,确定最终方案。结果癌症患者照顾者预期性悲伤护理干预方案包含4个干预模块、6个干预主题、33个干预内容。两轮函询问卷的回收率100%,专家权威系数0.899,Kendall和谐系数分别为0.258和0.264(P<0.001)。结论癌症患者照顾者预期性悲伤护理干预方案科学可靠,可缓解照顾者负性情绪,提高生活质量,并为其他慢性病患者照顾者提供参考。
Objective To develop a nursing intervention program for anticipatory grief on caregivers of cancer patients,aim to alleviate grief-related emotions and improve their quality of life and caregiving quality.Methods Based on the integrative risk factor framework for the prediction of bereavement outcome and a summary of the best available evidence,an initial draft of the intervention program was developed.From December 2023 to April 2024,two rounds of Delphi expert consultations were conducted with 15 experts from Beijing,Liaoning,Jilin,and Hong Kong region to finalize the program.Results The careging intervention program for anticipatory grief in cancer patient caregivers consisted of 4 intervention modules,6 intervention themes,and 33 intervention components.The response rate for both rounds of the Delphi survey were 100%,with an expert authority coefficient of 0.899.The Kendall coordination coefficients for the two rounds were 0.258 and 0.264(P<0.001)individually.Conclusion The anticipatory grief nursing intervention program for caregivers of cancer patients is scientifically reliable,relieves caregivers of negative emotions,improves quality of life,and serves as a reference for caregivers of other chronically ill patients.
作者
孙迪
陈宝玉
韩舒羽
王童瑶
张旭
SUN Di;CHEN Baoyu;HAN Shuyu;WANG Tongyao;ZHANG Xu(School of Nursing,Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China;Department of Neurology,Peking University Sixth Hospital,Beijing 100191,China;School of Nursing,Peking University,Beijing 100191,China;School of Nursing,The University of Hongkong,Hongkong 999077,China)
出处
《护理管理杂志》
2025年第5期439-443,共5页
Journal of Nursing Administration