安宁疗护家庭会议专家共识

Expert consensus on family meeting in palliative care

目的形成“安宁疗护家庭会议专家共识”(以下简称“共识”),为安宁疗护的从业人员实施家庭会议提供参考。方法成立“共识”编写小组,系统检索、评价和提取安宁疗护家庭会议相关证据,形成“共识”初稿,通过2轮专家咨询和2轮专家论证会,整理和分析专家意见,修改和完善初稿,形成“共识”终稿。结果第1轮咨询的专家积极系数为92.11%,第2轮为100%;专家判断系数为0.95,熟悉程度系数为0.89,权威系数为0.92;2轮咨询的肯德尔和谐系数分别为0.157和0.253,均具有统计学意义(P<0.001)。最终形成的“共识”包括适用范围、术语和定义、基本要求、实施家庭会议的时机、家庭会议前准备、家庭会议的实施、记录与随访、注意事项8个方面。结论该“共识”实用性较强,可为安宁疗护家庭会议的规范实施提供指导。

Objective To form an expert consensus on family meeting in palliative care and provide references for the staff engaged in palliative care to implement family meeting.Methods A consensus drafting group was set up to systematically search,evaluate and extract evidence related to family meeting in palliative care to form a draft consensus.After 2 rounds of Delphi expert consultation and expert demonstration meetings,expert opinions were sorted out and analyzed,the rough draft was revised,and then the final consensus draft was formed.Results The positive coefficient of the first round of expert consultation was 92.11%,and the second round was 100%.The coefficient of expert judgment was 0.95;the degree of familiarity was 0.89;the degree of authority coefficient was 0.92.The Kendall’s coefficients of the 2 rounds of consultation were 0.157 and 0.253,which were statistically significant(P<0.001).The final consensus consisted of 8 aspects,including the scope,terms and definitions,basic requirements,timing of family meetings,preparation before meetings,implementation of meetings,records and follow-up,and precaution.Conclusion The consensus is practical,and it can provide guidance for the standardized implementation of family meeting in palliative care.