基于ERG理论的免疫检查点抑制剂治疗癌症患者护理需求方案的构建

Construction of nursing need protocol for cancer patients receiving immune checkpoint inhibitor therapy based on ERG theory

目的构建免疫检查点抑制剂治疗的癌症患者护理需求方案,为提高患者生活质量、治疗依从性和降低不良反应发生率提供借鉴。方法成立研究小组,前期调查研究和文献调研结合生存-成长-关系(ERG)需要理论初步拟定免疫检查点抑制剂治疗的癌症患者护理需求方案,通过2轮德尔菲专家函询修订方案条目,确定最终方案。结果2轮专家函询问卷回收率均为100%;专家权威系数为0.845和0.862;肯德尔和谐系数为0.205和0.157(P<0.001)。最终方案包括6个1级指标、12个2级指标、39个3级指标。结论本研究基于ERG理论构建的免疫检查点抑制剂治疗癌症患者护理需求方案,具有可靠性、针对性和科学性,可为接受免疫检查点抑制剂治疗的癌症患者的需求支持护理提供一定参考价值。

Objective To construct a nursing need protocol for cancer patients treated with immune checkpoint inhibitors,and to provide reference for improving the quality of life and treatment compliance,and reducing the incidence of adverse events.Methods A research team was set up.The draft of nursing need protocol for cancer patients treated with immune checkpoint inhibitors was informed by an initial survey and literature review,integrating Perspectives from Existence,Relatedness and Growth(ERG)theory,and the final protocol was refined through two rounds of Delphi expert correspondence.Results The recovery rate of the 2 rounds of expert correspondence was both 100%;authority coefficient was 0.845 and 0.862;and Kendall’s harmony coefficient 0.205 and 0.157(P<0.001)respectively.The final protocol consisted of 6 first-level,12 secondary-level,and 39 third-level indicators.Conclusion The nursing need protocol for cancer patients receiving immune checkpoint inhibitor therapy constructed based on ERG theory is scientific and practical,and provides reference for the nursing for cancer patients treated with immune checkpoint inhibitors.