基于儿童医疗辅导理念的急性白血病患儿化疗期症状群干预方案的构建

Construction of intervention program for chemotherapy symptom group of children with Acute Leukemia based on the Child Life concept

目的:构建基于儿童医疗辅导理念的针对急性白血病患儿化疗期症状群的干预方案。方法:以儿童医疗辅导理念为指导,通过文献回顾,拟定急性白血病患儿症状群的初步干预方案,通过德尔菲专家咨询,确定干预的具体内容、方式和时间。结果:两轮专家咨询问卷有效回收率分别为79.0%、100.0%,专家权威系数为0.823,两轮专家协调系数为0.413和0.135,P值均<0.001。最终形成干预方案周期为2个月,包括发展性游戏阶段、医疗模拟游戏阶段和支持性游戏阶段3个一级条目、8个二级条目和18个三级条目的症状群干预方案。结论:以儿童医疗辅导理念构建的急性白血病患儿化疗期间症状群干预方案,结果可靠,具有一定可行性。

Objective:To construct an intervention program based on the concept of Child Life for the symptom group of children with Acute Leukemia.Methods:Under the guidance of the concept of Child Life,through literature review,a preliminary intervention plan for the symptom group of children with Acute Leukemia was formulated,the specific content,mode and time of the intervention were determined through Delphi expert consultation.Results:The effective recovery rates of the two rounds of expert consultation questionnaires were 79.0%and 100.0%respectively,the expert authority coefficient was 0.823,and the expert coordination coefficient of the two rounds was 0.413 and 0.135,respectively.Finally,a symptom group intervention program with an intervention period of 2 months was formed,including 3 first-level items,8 second-level items and 18 third-level items in the developmental game stage,medical simulation game stage and supportive game stage.Conclusion:The intervention program based on the concept of Child Life for the symptom group of children with Acute Leukemia has reliable results and has certain feasibility.