为接受化疗的肺癌患者构建中央症状集群管理计划:Delphi研究
Le Zhang1, Yuanyuan Luo1, Dongmei Mao1
1School of Nursing, Southern Medical University, Guangzhou, Guangdong, 510515, China.
BMC nursing
|October 15, 2025
概括
这项研究为接受化疗的肺癌患者开发了中央症状集群管理计划 (CSCMP). 该计划提供了一种科学,可信和可操作的方法,用于在临床环境中管理复杂症状.
科学领域:
- 在瘤学瘤学.
- 基于证据的实践.
- 医疗保健管理的管理
背景情况:
- 全球癌症发病率不断上升,需要改善患者护理.
- 肺癌是中国癌症发病率和死亡率的主要原因之一.
- 肺癌的化疗导致显著的症状负担,影响治疗的坚持和患者的福祉.
研究的目的:
- 构建一个全面的中央症状集群管理计划 (CSCMP).
- 提供一种结构化的方法来管理肺癌患者的化疗诱导症状.
主要方法:
- 利用症状管理理论 (SMT) 和最佳证据总结.
- 通过专家会议制定了方案草案.
- 通过两轮Delphi调查与17名专家 (2023年12月 - 2024年3月) 完善了该计划.
- 使用描述性统计和肯德尔的W一致性测试分析数据.
主要成果:
- 最终的CSCMP包括7个维度的12个项目:干预症状,方法,时间,内容,人员,地点和形式.
- 干预的主要组成部分包括培训,评估,健康指导,护理 (饮食,心理,生活,环境),炼,TCM,节能技能,睡眠卫生和随访.
- 专家们达成了高度的共识 (RR 100%,Cr 0.888,肯德尔的W 0.467-0.523,P < 0.05).
结论:
- 开发的CSCMP在科学上是合理的,可信的,并且在临床上适用.
- 该计划为医疗保健专业人员和肺癌患者提供了实际指导.
- 在复杂的临床环境中,有效的症状管理对于优化化疗治疗至关重要.
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