开发和验证因直肠癌而接受关节保护手术的患者肠道功能改变的应急清单
Ling-Chun Lu1,2, Ying-Ru Chen3,4, Chieh-Yu Liu5
1Second Degree Bachelor of Science in Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
开发并验证了一种新的16项肠功能变化的危险清单. 这种可靠的仪器有助于识别患有直肠癌手术后痛苦的患者,以获得更好的护理.
科学领域:
- 在瘤学瘤学.
- 医学心理学 医学心理学
- 健康 结果 研究 研究 结果
背景情况:
- 对于直肠癌的节保护手术可以导致显著的肠道功能障碍.
- 现有的生活质量问卷不足以解决患者对肠道功能障碍的担忧.
- 由于肠道功能发生变化的痛苦是生存的关键,但往往被忽视的方面.
研究的目的:
- 开发和验证一种用于评估与肠道功能改变相关的痛苦的新型仪器.
- 创建一个工具,全面捕捉肠道功能障碍的患者经验后直肠癌手术.
- 为识别需要针对肠道相关困扰提供有针对性的支持的患者提供可靠的措施.
主要方法:
- 一项五阶段研究,涉及概念定义,专家内容验证,患者面部验证,构造有效性 (探索性因子分析),与标准相关的有效性 (ROC曲线) 和可靠性评估.
- 探索性因子分析确定了三个关键领域:日常生活,情绪调节和社会功能.
- 接收器操作特征 (ROC) 曲线分析确定了仪器识别患有痛苦的患者的能力 (曲线下的面积=0.797).
主要成果:
- 改变肠道功能的最终应急清单包括16个项目.
- 在库存中得分更高表明更严重的痛苦.
- 该仪器表现出强大的可靠性,Cronbach的alpha为0.880和测试-重新测试可靠性为0.933.
- 确定9.5的切割值得分,以确定患有严重困扰的患者.
结论:
- 改变肠道功能的急救清单是一个可靠和有效的工具.
- 它使医疗保健专业人员能够主动识别经历手术后痛苦的患者.
- 根据确定的危险级别,可以提供及时干预和个性化护理.
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