基于循证和Delphi法的卵巢癌患者术前营养管理方案的构建

Construction of preoperative nutrition management scheme for patients with ovarian cnancei basedonevidenc and Delphi method

目的构建卵巢癌患者术前营养管理方案,为卵巢癌患者术前营养管理提供参考。方法采用循证的方法,进行最佳证据总结,拟定术前营养管理方案初稿,结合德尔菲专家函询意见,小组讨论修改后确定管理方案。结果邀请24位专家间隔4周进行2轮专家函询,问卷均有效回收,专家对问卷熟悉程度为0.950,专家权威系数为0.856;最后一轮专家意见重要性及可行性的Kendall’s W系数分别为0.463、0.364(P<0.001);问卷各条目重要性评分为4.43~5.00分,满分率为52.17%~100%,各条目变异系数为0~0.159。最终形成包含4个一级条目、10个二级条目、46个三级条目的术前营养管理方案。结论卵巢癌术前营养管理方案具有较强的科学性和实用性,可为卵巢癌患者临床营养护理实践提供参考。

Objectivee To construct preoperative nutritional management scheme for ovarian cancer patients,and to provide reference for preoperative nutritional management of ovarian cancer patients.Methods Evidence-based methods were used to summarize the best evidence,draft the preoperative nutrition management scheme,and determine the management scheme after group discussion and modification combined with Delphi expert letter consultation.Results 24 experts were invited to conduct two rounds of expert letter consultation at an interval of 4 weeks.All questionnaires were effectively collected.The expert familiarity with the questionnaire was 0.950,and the expert authority coeicient was 0.856.Kendall's W coefficients of the importance and feasibility of the last round of expert opinions were 0.463 and 0.364(P<0.001)respectively.The importance score of each item in the questionnaire was 4.43~5.00,the full score rate was 52.17%~100.00%,and the coefficient of variation of each item was 0~0.159.Finally,a preoperative nutrition management scheme was formed,which included 4 first-level items,10 second-level items and 46 third-level items.ConclusionThe preoperative nutrition management scheme of ovarian cancer is scientific and practical,and can provide reference for clinical nutrition nursing practice of ovarian cancer patients.