胰十二指肠切除术后患者早期下床活动方案的构建

Construction of early ambulation plan for patients after pancreaticoduodenectomy

目的探讨科学、可行的胰十二指肠切除术后早期下床活动方案。方法于2020年2月成立课题组,经文献循证和专家小组讨论初步拟定早期下床活动方案,采用德尔菲法于2020年6—10月选取来自北京3家三级甲等医院的共11名专家进行2轮函询,计算专家积极系数、专家的权威系数、肯德尔协调系数,根据专家修改意见构建早期下床活动方案。结果2轮专家咨询问卷回收率均为100.00%,专家权威系数为0.92,肯德尔和谐系数分别为0.337和0.257。最终形成的胰十二指肠切除术后早期下床活动方案包括早期安全下床评估标准、早期下床活动方案2个部分,共计14个一级指标,36个二级指标。结论本研究制订的胰十二指肠切除术后早期下床活动方案具有一定的科学性、可行性,可以进一步在临床实践中检验应用。

Objective To explore the scientific and feasible plan of early ambulation after pancreaticoduodenectomy.Methods A research group was established in February 2020,and a plan for early ambulation was initially formulated according to evidence-based literature and expert group discussions.From June to October 2020,a total of 11 experts from three ClassⅢGrade A hospitals in Beijing were selected for two rounds of consultation by using the Delphi method.By calculating the expert positive coefficient,expert authority coefficient,and the Kendall coordination coefficient,an early ambulation plan was constructed according to the expert's revised opinions.Results Among two rounds of expert consultation,and the questionnaire recovery rates were all 100.00%,and the expert authority coefficient was 0.92,and the Kendall coordination coefficient were 0.337 and 0.257,respectively.The finalized early ambulation plan after pancreaticoduodenectomy included two parts,namely,the early safe ambulation evaluation standard and the early ambulation program,with a total of 14 first-level indicators and 36 second-level indicators.Conclusions The early ambulation plan after pancreaticoduodenectomy is scientific and feasible,and can be further tested and applied in clinical practice.