摘要
目的制订胰腺癌根治术联合自体小肠移植患者出院后随访清单,为随访工作提供科学的工具支持,及时发现并解决患者出院后可能遇到的问题,确保远期疗效。方法通过文献回顾拟订随访清单初稿。2024年9月,采用德尔菲法对14名专家进行2轮函询,综合专家意见并进行修订,形成随访清单终稿。2024年11月,采用便利抽样法,选取浙江省某三级甲等医院14例胰腺癌根治术联合自体小肠移植患者作为研究对象,随访护士采用该随访清单对患者进行电话随访,并对清单进行评价。结果2轮函询问卷的有效回收率分别为93.33%和100%,专家权威系数分别为0.939、0.947,变异系数为0~0.167和0~0.141,肯德尔和谐系数为0.137和0.140(P<0.05)。最终形成的随访清单包含3项一级指标、12项二级指标及27项三级指标。护士和患者均认为该随访清单内容全面,具有较强的专科性和临床实用性。结论构建的随访清单结构合理,内容详尽,专科性和实用性突出,能够为胰腺癌根治术联合自体小肠移植患者出院后的随访提供科学、规范的工具支持。
Objective To formulate a follow-up checklist for postoperative patients of pancreatic cancer undergoing radical resection combined with intestinal autotransplantation,and provide a scientific tool to support the follow-up work,timely identify and solve problems encountered by patients after discharge,and ensure the long-term efficacy.Methods The first draft of the follow-up checklist was constructed through literature review,and the final draft of the follow-up checklist was formed by conducting 2 rounds of correspondence with 14 experts using the Delphi method in September 2024,screening experts’opinions and revising and improving the checklist.The convenience sampling method was adopted to select 14 postoperative patients of pancreatic cancer with radical resection combined with intestinal autotransplantation from a tertiary class A hospital in Zhejiang Province in November 2024 as the research subjects.The nurses conducted telephone follow-up to the patients with the postoperative follow-up list and evaluated the follow-up list.Results The effective response rates of 2 rounds of expert consultations were 93.33%and 100%,the authoritative coefficients were 0.939 and 0.947,the variation coefficients of each item ranged from 0 to 0.167 and from 0 to 0.141,and the Kendall harmony coefficient was 0.137 and 0.140(P<0.05).The final follow-up checklist included 3 primary indicators,12 secondary indicators and 27 tertiary indicators.Both nurses and patients believed that the follow-up checklist was comprehensive with strong professional and clinical practicability.Conclusion The follow-up checklist is reasonable in structure,comprehensive in content,specialized and practical,which can provide a scientific and standardized tool to support post-discharge follow-up of pancreatic cancer patients undergoing radical resection combined with intestinal autotransplantation.
作者
卢芳燕
吉莉
董丽
吴静韵
杨云
汤洒潇
王华芬
LU Fangyan;JI Li;DONG Li;WU Jingyun;YANG Yun;TANG Saxiao;WANG Huafen(Nursing Department,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China;Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)
出处
《中华急危重症护理杂志》
2026年第1期9-15,共7页
Chinese Journal of Emergency and Critical Care Nursing
关键词
器官移植
胰腺肿瘤
随访
清单
德尔菲技术
护理
Organ Transplantation
Pancreatic Neoplasms
Follow Up
Checklist
Delphi Technique
Nursing Care
