宫颈癌根治术后间歇导尿患者延续护理方案的构建

Construction of the transitional care program for patients undergoing intermittent catheterization after radical hysterectomy of cervical cancer

目的构建宫颈癌根治术后间歇导尿患者延续护理方案,以规范间歇导尿延续护理实践。方法结合奥马哈问题分类系统,在检索指南、专家会议基础上,采用Delphi法对20名专家进行2轮函询。结果2轮函询问卷有效回收率均为100%,专家权威系数分别为0.920、0.926,方案重要性的Kendall's W系数分别为0.140、0.334;形成方案包括间歇导尿护理问题评估表和延续护理实施方案2个部分,共8项一级指标、45项二级指标和83项三级指标。结论方案基于指南证据,结合临床情景和专家意见形成,具有较好的临床实用性,可为宫颈癌根治术后间歇导尿患者提供规范的延续护理。

Objective To construct a transitional care program for patients undergoing intermittent catheterization after radical hysterectomy of cervical cancer,so as to standardize the transitional care for patients undergoing intermittent catheterization.Methods According to the Omaha classification system,after reviewing guidelines and holding expert meeting,then a 2-round expert consultation was conducted among 20 experts using Delphi method.Results Experts'response rate was both 100% in the 2 rounds,experts'authority coefficient was 0.920 and 0.926,and the Kendall's W value was 0.140 and 0.334 respectively.The final program consisted of two parts,the nursing evaluation form of intermittent catheterization and transitional care implementation program,which included 8 first-level indicators,45 second-level indicators and 83 third-level indicators.Conclusion The program is constructed based on the evidence from guidelines,clinical situation and expert suggestions,and it has good clinical practicality,so it can provide reference for conducting standard transitional care for patients undergoing intermittent catheterization after radical hyste-rectomy of cervical cancer.