School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
Department of Catheter Clinic, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
J Vasc Access. 2024 May;25(3):759-766. doi: 10.1177/11297298221075166. Epub 2022 Jun 8.
To establish a multidisciplinary management model based on Delphi method to guide nursing practice and reduce the incidence of CVAD-associated Skin Impairment (CASI) in tumor patients.
On the basis of literature review and focus group interview, the initial item pool of CASI management model for cancer patients was determined. The Delphi method was used to conduct two rounds of letter consultation with 36 authoritative and representative experts to determine the content and weight of indicators of CASI multidisciplinary management model for cancer patients.
Most of the research group were experts with bachelor degree or above. More than 90% of experts have worked for more than 10 years; Areas of expertise include oncology care, venous therapy, wound stomatology, and dermatology. The recovery rate of the two rounds of expert correspondence questionnaire was 100%. The authority coefficient of experts was 0.898, indicating a good degree of authority. Kendall's harmony coefficients were 0.193 and 0.250, with statistically significant differences ( < 0.001). After two rounds of expert letter consultation, a multidisciplinary management model of CASI for cancer patients was initially formed, which included 15 first-level prevention indexes and 38 second-level prevention indexes of CASI for cancer patients. There were 9 first-level indexes and 16 second-level indexes of CASI treatment in tumor patients.
Cancer patients based on Delphi method to construct CASI multidisciplinary management model has high reliability and scientificity, multidisciplinary management model in the management of patients with tumor CASI exploration will provide new methods for central venous catheter nursing and the new way of thinking, will also be intravenous fluids will provide a scientific basis for professional development and quality improvement and practical experience.
采用德尔菲法构建多学科管理模式，指导护理实践，降低肿瘤患者中心静脉导管相关性皮肤损伤（CVAD-ASI）的发生率。
在文献回顾和焦点小组访谈的基础上，确定了癌症患者 CVAD-ASI 管理模式的初始条目池。采用德尔菲法对 36 名权威和有代表性的专家进行了两轮函询，以确定癌症患者 CVAD 多学科管理模式的指标内容和权重。
研究组成员多为本科及以上学历，90%以上的专家工作年限在 10 年以上；专业领域包括肿瘤护理、静脉治疗、伤口口腔医学和皮肤科。两轮专家函询问卷回收率均为 100%。专家权威系数为 0.898，表明专家权威程度较好。Kendall 和谐系数分别为 0.193 和 0.250，差异有统计学意义（ < 0.001）。经过两轮专家函询，初步形成了癌症患者 CVAD 多学科管理模式，包括癌症患者 CVAD 一级预防指标 15 项、二级预防指标 38 项；肿瘤患者 CVAD 治疗的一级指标 9 项，二级指标 16 项。
基于德尔菲法构建的癌症患者 CVAD 多学科管理模式具有较高的可靠性和科学性，为肿瘤患者 CVAD-ASI 的管理提供了新的方法，为中心静脉导管护理的新途径提供了新的思路，也为静脉输液提供了专业发展和质量改进的科学依据和实践经验。
