建立共识和确定优先事项:使用Delphi技术来定义癌症患者护理的营养模式的核心元素和临床确定因素
Jenelle Loeliger1,2,3,4, Anna Ugalde5, Judi Porter6,7
1Nutrition and Speech Pathology Department, Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne, VIC, 3000, Australia. jenelle.loeliger@petermac.org.
Journal of cancer survivorship : research and practice
|February 13, 2026
概括
这项研究建立了关于癌症营养护理模型关键要素的共识. 它强调了改善癌症患者获得和质量的营养支持的战略.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 获得专门的癌症营养护理往往是不充分的.
- 在癌症服务中实施有效的营养护理模型存在挑战.
研究的目的:
- 在癌症患者和营养专家之间就癌症营养护理模型的基本组成部分和临床决定因素达成共识.
- 确定癌症患者实用和有效的营养模式的核心元素.
主要方法:
- 两轮全国在线Delphi研究与营养专家和消费者进行.
- 参与者使用11点的利克特级别对62个项目进行了评分,以确定其重要性和可行性.
- 通过评估响应频率与预定义的门来确定共识.
主要成果:
- 第1轮有69名小组成员参加,第2轮有60名小组成员参加,其中大多数是营养专家.
- 在支持癌症营养护理至关重要的32个项目上达成了强有力的共识.
- 确定的改进机会包括超出资源范围的战略,强调营养护理的价值和实践.
结论:
- 这些发现将指导系统级改善复杂医疗机构的癌症营养护理.
- 在关键要素上达成共识可以解决系统性访问障碍和护理差异.
- 这种共识有可能弥合癌症营养支持的证据和实践之间的差距.
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