结直肠癌术后患者出院准备度指标的构建

Construction of discharge readiness indicators for patients after colorectal cancer surgery

  • 摘要:
    目的 构建结直肠癌术后患者出院准备度指标, 为评估患者出院准备度并制订针对性干预措施提供依据。
    方法 以出院准备度概念属性为理论基础,经文献检索、筛选与质量评价,结合课题小组会议讨论,初步形成结直肠癌术后患者出院准备度指标。运用德尔菲法开展2轮专家函询,最终确定出院准备度指标终稿。
    结果 18名专家完成2轮函询。第2轮,专家对指标重要性、可操作性评价的肯德尔和谐系数(Kendall's W)分别为0.276(χ2=198.857, P < 0.001)、0.304(χ2=218.806, P < 0.001)。最终形成的出院准备度指标包括3个一级指标(生理情况、心理状况、社会支持)、11个二级指标和34个三级指标, 一级指标权重分别为0.600、0.200、0.200。
    结论 本研究构建的结直肠癌术后患者出院准备度指标具有良好的科学性、可靠性和全面性,可为出院准备度评估和针对性干预措施制订提供参考。

     

    Abstract:
    Objective To construct discharge readiness indicators for patients after colorectal cancer surgery, providing a basis for evaluating patients' discharge readiness and formulating targeted intervention measures.
    Methods Based on the conceptual attributes of discharge readiness, preliminary discharge readiness indicators for patients after colorectal cancer surgery were formed through literature retrieval, screening, and quality evaluation, combined with discussions in project team meetings. The Delphi method was employed to conduct two rounds of expert consultations, ultimately finalizing the draft of the discharge readiness indicators.
    Results A total of 18 experts completed the two rounds of consultations. In the second round, the Kendall's coefficient of concordance (Kendall's W) for experts' evaluations of the importance and operability of the indicators were 0.276 (χ2=198.857, P < 0.001) and 0.304 (χ2=218.806, P < 0.001), respectively. The final discharge readiness indicators consisted of three first-level indicators (physiological condition, psychological status, and social support), 11 second-level indicators, and 34 third-level indicators, with the weights of the first-level indicators being 0.600, 0.200, and 0.200, respectively.
    Conclusion The discharge readiness indicators constructed in this study for patients after colorectal cancer surgery demonstrate good scientificity, reliability, and comprehensiveness, offering a reference for evaluating discharge readiness and formulating targeted intervention measures.

     

/

返回文章
返回