基于德尔菲法宫颈癌化疗患者同伴支持方案的构建

Construction of peer support program for cervical cancer chemotherapy patients based on Delphi method

目的构建宫颈癌化疗患者同伴支持内容和形式,形成符合我国临床实际和具有可操作性的宫颈癌化疗患者同伴支持方案。方法2018年11月-2019年11月,通过文献回顾、质性研究和问卷调查,初步拟定宫颈癌化疗患者同伴支持方案,采用德尔菲法对18名国内熟悉宫颈癌同伴支持相关领域的专家进行2轮函询,从不同层面和角度提供客观的意见和建议。结果2轮函询问卷的有效回收率都为100.00%,专家权威系数为0.858,肯德尔和谐系数为0.240和0.267,最终形成包括4项一级指标(同伴支持的形式、情感支持、信息支持和社会适应支持)和29项二级指标的宫颈癌化疗患者同伴支持干预方案。结论基于德尔菲法构建的同伴支持方案具有一定的科学性、可行性,为宫颈癌化疗患者开展同伴支持提供了科学依据。

Objective To construct the content and form of peer support for cervical cancer chemotherapy patients so as to form an operable peer support program for cervical cancer chemotherapy patients in line with my country's clinical reality.Methods From November 2018 to November 2019,we initially formulated the peer support program for cervical cancer chemotherapy patients through literature review,qualitative research and questionnaire survey.The Delphi method was used to conduct two rounds of letter inquiries with 18 domestic experts who were familiar with cervical cancer peer support related fields to provide objective opinions and suggestions from different levels and angles.Results The effective recovery rate of the two rounds of questionnaires was 100.00%,the expert authority coefficient was 0.858 and the Kendall harmony coefficients were 0.240 and 0.267.The final peer support program for cervical cancer chemotherapy patients included 4 first-level indicators(forms of peer support,emotional support,information support and social adaptation support)and 29 second-level indicators.Conclusions The peer support program based on the Delphi method is scientific and feasible which provides a scientific basis for the peer support of cervical cancer chemotherapy patients.