摘要
目的:构建卵巢癌化疗病人多学科全程化营养管理实践方案。方法:基于循证,检索国内外文献,拟定卵巢癌化疗病人多学科全程化营养管理方案初稿。2022年5月~7月,运用德尔菲法对16名专家进行函询,根据专家意见调整相应指标,形成方案终稿。结果:2轮专家函询问卷回收率为100%,专家积极程度较高;权威系数为0.933,专家的权威程度较高;肯德尔和谐系数分别是0.257和0.520(P<0.001),专家协调程度较好。最终形成的营养管理方案包含6项一级指标,二级指标24项,三级指标34项。结论:本研究形成的卵巢癌化疗病人多学科全程化营养管理方案具备科学性和临床实用性,可为今后开展卵巢癌化疗病人营养管理实践提供借鉴。
Objective:To construct a whole-course and multidisciplinary nutrition management program for ovarian cancer patients undergoing chemotherapy.Methods:The related literatures published in the domestic and foreign journals were searched for drafting the first draft of the whole-course and multidisciplinary nutrition management program.Between May and July,2022,the Delphi method was used to conduct two rounds of expert consultations to 16 experts,and the analytic hierarchy process method was used to determine the weight of indicators at all levels.According to the experts’comments and suggestions,the draft was revised to formulate the final one.Results:In two rounds of Delphi expert consultations,expert positive coefficients were both 100%(16/16),and expert authority coefficients were both 0.933.The Kendall's coordination coefficients were 0.257 and 0.520,respectively(P<0.001).Finally,6 first-level indicators,24 second-level indicators and 34 third-level indicators were determined in the final nutritional management program.Conclusions:Through literature research and semi-structured interviews,we develop a whole-course and multidisciplinary nutrition management program for ovarian cancer patients with chemotherapy.The program is reliable and clinically practical,and can be used for nutrition management of ovarian cancer patients in clinical practice.
作者
田小娟
李卫涛
刘鹏举
刘艳
冯林垚
李颖
霍晓鹏
TIAN Xiao-juan;LI Wei-tao;LIU Peng-ju;LIU Yan;FENG Lin-yao;LI Ying;HUO Xiao-peng(Department of Gynaecology and Obstetrics,Peking Union Medical College Hospital,Beijing 100730,China;School of Nursing,Peking Union Medical College,Beijing 100144,China;Department of Nutrition,Peking Union Medical College Hospital,Beijing 100730,China;Nursing Department,Peking Union Medical College Hospital,Beijing 100730,China)
出处
《肠外与肠内营养》
CAS
CSCD
北大核心
2023年第5期298-303,共6页
Parenteral & Enteral Nutrition
基金
北京协和医院2021年护理科研课题(XHHLKY202109)
中央高水平医院临床科研业务费资助项目(2022-PUMCH-B-130)。
关键词
卵巢癌
化疗
营养管理
德尔菲法
健康教育
Ovarian cancer
Chemotherapy
Nutrition management
Delphi Method
Health Education
