基于奥马哈理论维吾尔族宫颈癌患者延续性护理评价体系的构建

Construction of continuous care evaluation system for Uyghur cervical cancer patients based on Omaha theory

目的探讨基于奥马哈理论维吾尔族宫颈癌术后患者延续性护理评价体系的构建。方法基于奥马哈系统理论,通过文献研究、专题小组讨论初步构建评价指标体系,形成专家函询问卷。本研究于2021年3月至2022年4月选取新疆肿瘤医院、新疆维吾尔自治区人民医院、新疆中医医院、新疆医科大学第一附属医院、新疆医科大学第二附属医院、北京肿瘤医院、四川省人民医院、四川大学华西第二医院共8家三甲医院20名专家作为函询对象,进行2轮德尔菲专家函询,评价专家积极程度、权威程度、意见协调系数,各指标重要性评分和满分率。结果2轮专家咨询问卷回收率均为100%,专家权威系数Cr分别为0.893和0.901,各级指标肯德尔协调系数均>0.4,P<0.05,最终形成的指标体系包含4个一级指标、16个二级指标、41个三级指标。结论构建的维吾尔族宫颈癌术后患者延续性护理评价指标体系可为特殊群体的延续护理质量评价提供参考。

Objective To explore the construction of a continuity of care evaluation system based on Omaha theory for Uyghur postoperative cervical cancer patients.Methods Based on the Omaha system theory,the evaluation index system was initially constructed through literature research and focus group discussion,and an expert correspondence questionnaire was formed.From March 2021 to April 2022,20 experts from eight tertiary hospitals,including Xinjiang Cancer Hospital,People's Hospital of Xinjiang Uygur Autonomous Region,Xinjiang Hospital of Traditional Chinese Medicine,First Affiliated Hospital of Xinjiang Medical University,Second Affiliated Hospital of Xinjiang Medical University,Beijing Cancer Hospital,People's Hospital of Sichuan Province and Second Hospital of West China of Sichuan University were selected as the subjects of the correspondence questionnaire,and two rounds of Delphi expert correspondence were conducted.The degree of positivity,authority,opinion coordination coefficient,importance score,and full score rate of each index were evaluated.Results The recall rate of the 2 rounds of expert consultation questionnaires was 100%,the expert authority coefficient Cr were 0.893 and 0.901,respectively,and the Kendall coordination coefficient of indicators at all levels were greater than 0.4,P<0.05,and the final formed index system contained 4 primary indicators,16 secondary indicators,and 41 tertiary indicators.Conclusion The constructed index system for evaluating the continuity of care for Uyghur postoperative cervical cancer patients can provide a reference for evaluating the quality of continuity of care for special groups.