为妇科瘤患者建立一个由奥马哈系统指导的Delphi信息过渡期护理计划
Yinyi Wei1, Qiyu Bo1, Xiaoxin Chen2
1Department of Gynecology, Qilu Hospital of Shandong University, Jinan, China.
Journal of clinical nursing
|November 27, 2025
概括
这项研究使用奥马哈系统为妇科癌症患者开发了一种标准化的过渡期护理计划. 该计划通过整合评估和教育来增强术后恢复,以改善护理的连续性.
科学领域:
- 瘤学 护理 护理专业
- 过渡期护理是指过渡期护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 妇科癌症患者的手术后护理过渡带来了挑战.
- 需要标准化的计划来改善患者的治疗结果和护理的连续性.
研究的目的:
- 开发和验证术后妇科癌症患者的标准化过渡期护理计划.
- 使用奥马哈系统框架进行结构化方法.
主要方法:
- 文献审查,与患者/护理人员的半结构化采访,以及多学科团队讨论,为计划设计提供了信息.
- 两轮的德尔菲专家咨询与17名瘤护理专家精细化了该计划.
- 使用专家权威系数 (Cr),肯德尔的W测试和变化系数 (CV) 来衡量共识.
主要成果:
- 德尔菲咨询显示出强大的专家共识 (Cr:0.886-0.906) 和高参与率 (88.2%-100%).
- 观察到具有统计意义的一致性 (肯德尔的W:0.233-0.383;p < 0.01).
- 变化指标的系数保持在可以接受的范围内 (0.08-0.42).
结论:
- 基于奥马哈系统的过渡期护理计划证明了专家的共识,科学严谨性和临床适用性.
- 该协议标准化了护理过渡,整合了多维评估和以家庭为中心的教育.
- 这一框架有助于减少并发症,提高护理人员的准备能力,改善护理连续性.
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