基于社会生态学理论的肺癌手术患者肺康复评价指标体系的构建

Construction of quality evaluation index system of pulmonary rehabilitation for lung cancer patients based on social ecology theory

目的构建基于社会生态学理论的肺癌手术患者肺康复评价指标体系,为评价肺癌手术患者的康复质量提供参考依据。方法本研究采用非试验性研究中的德尔菲法,2022年1—4月对25名专家进行了2轮函询。以社会生态学理论为基础,采用文献检索、小组讨论、德尔菲法确立肺癌手术患者肺康复评价指标体系。结果2轮专家函询的问卷回收率分别为84%(21/25)和100%(21/21),专家权威系数均为0.824,Kendall协调系数W值分别为0.279和0.186,均有统计学意义(χ^(2)=409.57、218.23,均P<0.05)。最终形成的基于社会生态学理论的肺癌手术患者肺康复评价指标体系共包括一级指标4个、二级指标11个、三级指标42个。结论本研究构建的基于社会生态学理论的肺癌手术患者肺康复评价指标体系具有一定的科学性和实用性,为我国肺癌手术患者康复护理质量的持续改进提供了参考依据。

Objective To construct a quality evaluation index system of pulmonary rehabilitation for lung cancer patients in order to supply reference for evaluation of rehabilitation quality for lung cancer patients.Methods This research adopted Delphi technique of non-experimental study.A total of 25 experts were invited to participate 2 rounds of letter enquiry from January to April in 2022.Literature retrieval,group discussion and Delphi method were used to establish the evaluation system of pulmonary rehabilitation for patients with lung cancer based on the social ecology theory.Results The recovery rates of the two rounds of expert correspondence were 84%(21/25)and 100%(21/21),respectively,the expert authority coefficient was 0.824,and the Kendall′s W value was 0.279 and 0.186,respectively,which were statistically significant(χ^(2)=409.57,218.23,both P<0.05).The finally formed quality evaluation index system of pulmonary rehabilitation for lung cancer patients based on social ecology theory included 4 first-level indicators,11 second-level indicators,and 42 third-level indicators.Conclusions The evaluation system of pulmonary rehabilitation for lung cancer surgery patients constructed in this study has certain scientificity and practicability,and provides a reference for the continuous improvement of the quality of care for lung cancer patients in our country.