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基于德尔菲法制定食管癌术后家庭肠内营养健康教育方案。

Developing a health education program for home enteral nutrition after esophageal cancer surgery based on the Delphi method.

作者信息

Tian Weiran, Liu Wei, Wang Cuirong, Liu Lei, Zhang Liming, Chen Lu

机构信息

Department of Thoracic Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.

Department of Breast Surgery, The Fourth Hospital of Shijiazhuang, Shijiazhuang, Hebei, China.

出版信息

Medicine (Baltimore). 2025 Feb 21;104(8):e41586. doi: 10.1097/MD.0000000000041586.

Abstract

To develop a health education program for home enteral nutrition (HEN) after Esophageal cancer (EC) surgery based on Delphi method, providing reference opinions for clinical nursing education and patient home care. The health education program for HEN after EC surgery was constructed through literature research, theoretical analysis and group discussion. From February to June 2024, experts in clinical nursing, clinical medicine, and nutrition of EC were invited to conduct 2 rounds of Delphi expert consultation to initially determine the items of the program. The weight and assignment of each items were determined through analytic hierarchy process (AHP), and then the final health education program for HEN after EC surgery was established. The authoritative coefficients of the 2 rounds consulting experts were 0.918 and 0.929 and the positive coefficients were 100% and 95%, respectively; The mean range of importance assignment for the second round of consultation indicators was 4.26 to 5.00 points, with a full score range of 40.90% to 95.45%. The mean harmony coefficients for expert opinions from 2 rounds were 0.206 and 0.218 (P < .01), respectively. The final health education program for postoperative HEN in EC includes 6 primary items, 27 secondary items, and 18 tertiary items. The results of the AHP showed that the consistency coefficients (CR values) of each matrix for the tertiary items were all < 0.1, meeting the requirements of consistency testing. The constructed health education program for postoperative HEN patients with EC in this study has high scientific and practical value, and can provide reference for the health education of postoperative HEN patients with EC.

摘要

基于德尔菲法制定食管癌(EC)术后家庭肠内营养(HEN)健康教育方案,为临床护理教育及患者居家护理提供参考意见。通过文献研究、理论分析及小组讨论构建EC术后HEN健康教育方案。于2024年2月至6月,邀请EC临床护理、临床医学及营养方面的专家进行2轮德尔菲专家咨询,初步确定方案条目。通过层次分析法(AHP)确定各条目的权重及赋值,进而确立最终的EC术后HEN健康教育方案。2轮咨询专家的权威系数分别为0.918和0.929,积极系数分别为100%和95%;第二轮咨询指标重要性赋值的均值范围为4.26至5.00分,满分范围为40.90%至95.45%。2轮专家意见的平均协调系数分别为0.206和0.218(P < 0.01)。EC术后HEN最终健康教育方案包括6个一级条目、27个二级条目和18个三级条目。AHP结果显示,各三级条目矩阵的一致性系数(CR值)均< 0.1,符合一致性检验要求。本研究构建的EC术后HEN患者健康教育方案具有较高的科学性和实用性,可为EC术后HEN患者的健康教育提供参考。

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