Gong Jingjing, Chen Yiqian, Wang Yongli, Gong Yuanyuan, Yang Dandan, Li Xiaodan
Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.
Department of Nursing, Beijing Health Vocational College, Beijing 101101, China.
Healthcare (Basel). 2025 Jul 7;13(13):1623. doi: 10.3390/healthcare13131623.
: This study aims to develop a standardized weight management intervention program for patients with endometrial cancer (EC) undergoing fertility preservation treatment and to provide a scientific foundation for midwives to implement weight management initiatives in the domains of oncology and reproduction. : The weight management intervention program for patients with EC undergoing fertility preservation treatment was crafted following the directives of the Medical Research Council framework for developing and assessing complex interventions and the World Health Organization handbook for guideline development. The development process encompassed four distinct stages: (1) establishing the intervention development group, (2) identifying a theoretical basis and forming a content framework, (3) gathering and synthesizing evidence, and (4) refining and modeling the practice program. : The ultimate weight management program consisted of 6 primary, 18 secondary, and 53 tertiary items. Through two rounds of Delphi consultation, a response rate of 100% was attained, with an expert authority coefficient of 0.83. : The developed intervention demonstrates scientific robustness and clinical feasibility, presenting a structured methodology for weight management for EC patients undergoing fertility preservation therapy.
本研究旨在为接受生育力保留治疗的子宫内膜癌（EC）患者制定标准化体重管理干预方案，并为助产士在肿瘤学和生殖领域实施体重管理举措提供科学依据。
针对接受生育力保留治疗的EC患者的体重管理干预方案是按照医学研究理事会制定和评估复杂干预措施的框架以及世界卫生组织指南制定手册的指示精心制定的。制定过程包括四个不同阶段：（1）成立干预措施开发小组；（2）确定理论基础并形成内容框架；（3）收集和综合证据；（4）完善并构建实践方案。
最终的体重管理方案包括6项主要项目、18项次要项目和53项第三级项目。通过两轮德尔菲咨询，回复率达到100%，专家权威系数为0.83。
所制定的干预措施具有科学稳健性和临床可行性，为接受生育力保留治疗的EC患者的体重管理提供了一种结构化方法。
