开发基于德尔菲方法的食道癌手术后家庭肠道营养健康教育计划
Weiran Tian1, Wei Liu2, Cuirong Wang3
1Department of Thoracic Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Medicine
|February 24, 2025
概括
使用德尔菲方法开发了一项新的健康教育计划,用于食道癌 (EC) 手术后的家庭肠道营养 (HEN). 该计划为临床护理和手术后的患者家庭护理提供了关键的指导.
科学领域:
- 瘤学 护理 护理专业
- 术后恢复 术后恢复
- 营养支持 营养支持
背景情况:
- 食道癌 (EC) 手术往往需要家庭肠道营养 (HEN) 恢复.
- 有效的患者教育对于成功管理HEN和改善结果至关重要.
- 现有的教育资源可能缺乏全面的,以证据为基础的指导,适合经过EC手术的患者.
研究的目的:
- 开发一个结构化和基于证据的健康教育计划,用于在食道癌 (EC) 手术后的患者的家庭肠道营养 (HEN).
- 为临床护理教育提供可靠的参考资料,并增强患者在家中的自我护理能力.
- 确保该计划的内容和结构通过专家的共识得到验证.
主要方法:
- 采用了德尔菲方法,涉及2轮专家咨询与EC临床护理,医学和营养专家.
- 文献研究,理论分析和小组讨论为最初的程序开发提供了信息.
- 使用分析层次流程 (AHP) 来确定每个项目重量和重要性,确保一致性和科学严谨性.
主要成果:
- 德尔菲协商取得了高专家权威 (0.918-0.929) 和共识 (P < .01).
- 最终的计划包括6个初级项目,27个二级项目和18个三级项目,AHP证实了一致性 (CR < 0.1).
- 专家评级显示所有项目指标都具有很高的重要性 (4.26-5.00分).
结论:
- 已经成功地构建了一个科学合理和实用的健康教育计划,用于HEN后EC手术.
- 该计划通过专家的共识和严格的统计分析来验证,确保其相关性和适用性.
- 该计划作为一个有价值的资源,以改善临床护理教育和患者的家庭护理在EC恢复的背景下.
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