癌症患者中性粒细胞减少症并发症预防与管理集束化方案。
Bundle for the prevention and management of complications of neutropenia in cancer patients.
作者信息
Amaral Rosilene Aparecida Costa, Oliveira Patrícia Peres de, Fonseca Deborah Franscielle da, Schlosser Thalyta Cristina Mansano, Moraes Juliano Teixeira, Silveira Edilene Aparecida Araújo da, Santos Kelli Borges Dos
机构信息
Universidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.
Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil.
出版信息
Rev Bras Enferm. 2021 May 3;74(2):e20200195. doi: 10.1590/0034-7167-2020-0195. eCollection 2021.
OBJECTIVES
to construct and assess bundle content for the prevention and management of complications in neutropenia in cancer patients.
METHODS
a methodological study developed in four stages: scoping review; bundle construction; material assessment by experts (developed according to Pasquali's psychometry); pilot test in a High Complexity Assistance Unit in Oncology. For content assessment, the Delphi technique was applied in two rounds and those items with Content Validation Coefficient (CVC)> 0.78 and agreement> 80.0% were considered valid. Data were analyzed using descriptive and inferential statistics.
RESULTS
all bundle requirements reached agreement between judges above 80.0%, in addition to statistically significant levels of assessment. At the end of the Delphi technique, bundle was significantly valid with CVC = 0.92 and CVC = 0.93, respectively.
CONCLUSIONS
bundle content proved to be valid and highly credible.
目的
构建并评估癌症患者中性粒细胞减少症并发症预防和管理的集束化护理内容。
方法
一项分四个阶段开展的方法学研究：范围综述；集束化护理构建；专家评估（根据帕斯夸利心理测量法制定）；在肿瘤高复杂性护理单元进行预试验。对于内容评估，采用两轮德尔菲技术，内容效度系数（CVC）>0.78且一致性>80.0%的项目被视为有效。使用描述性和推断性统计方法分析数据。
结果
除了具有统计学意义的评估水平外，所有集束化护理要求在评判者之间的达成率均高于80.0%。在德尔菲技术结束时，集束化护理分别具有显著有效性，CVC = 0.92和CVC = 0.93。
结论
集束化护理内容被证明是有效且高度可信的。
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