摘要
目的构建针对肿瘤科护士的濒死期患者支持性照护培训方案并进行应用,探究护士对该培训方案的满意度和效果。方法依据课题组前期基于证据和专家函询构建的癌症患者濒死期支持性照护策略清单,拟定针对肿瘤科护士的濒死期患者支持性照护培训方案初稿,采用德尔菲法邀请17名专家进行函询,依据专家对各项内容的评分及提出的意见对培训方案进行修改和完善,形成培训方案终稿。2024年2月将培训方案在31名临床护士中应用,并在培训结束后对培训设置及内容进行评价。结果共开展2轮专家函询,最终确定的培训方案包含6项培训模块、15项培训核心内容、37项培训具体内容和31项培训目标。2轮函询的专家积极系数均为100%;专家的判断依据系数为0.96,熟悉程度系数为0.82,权威系数为0.89;2轮函询专家评分的变异系数均为0~0.135,肯德尔和谐系数分别为0.104和0.120(均P<0.001)。培训实施后对护士的调查结果显示,31名护士对培训方案设置及内容均认为满意,并表示该培训项目可提升濒死期患者照护的知识和技能水平。结论该研究构建的濒死期肿瘤患者支持性照护培训方案内容构成合理,具有较好的科学性、可靠性和推广应用价值,可为临床护士开展濒死期照护培训提供参考。
Objective To construct a training program for oncology nurses on end-of-life supportive care,and to explore nurses'satisfaction with and the effectiveness of the program.Methods The training program about end-of-life supportive care for cancer patients in the dying period was drafted by the research team through expert consultation.The Delphi method was employed to invite 17 experts for consultation.According to the scores and the opinions of the experts,the training content was revised to form the final draft.In February 2024,the program was applied to 31 clinical nurses,and evaluations were conducted on the training setup and content after its completion.Results Two rounds of expert consultations were conducted.The final training program consisted of six modules,15 main contents,37 specific training topics,and 31 training objectives.The response rates of both rounds were 100%;the judgment basis coefficient(Ca),familiarity coefficient(Cs)and authority coefficient(Cr)of expert consultation were 0.96,0.82,and 0.89 respectively;the variable coefficient of consultations in both rounds ranged from 0 to 0.135,and the Kendall concordance coefficients were 0.104 and 0.120(both P<0.001).The survey of the nurses after the training program implementation showed that all the nurses were satisfied with both the setup and content of the program,and indicated that the training program could improve their knowledge and/or skills toward the care of the dying.Conclusion The training program constructed in this study is reasonable,scientific,reliable and practical,and can provide reference for developing education resources about care of the dying for clinical nurses.
作者
侯晓婷
于文华
庞冬
国仁秀
王云
李梓萌
柏冬丽
陆宇晗
HOU Xiaoting;YU Wenhua;PANG Dong;GUO Renxiu;WANG Yun;LI Zimeng;BAI Dongli;LU Yuhan
出处
《中华护理教育》
2025年第2期204-210,共7页
Chinese Journal of Nursing Education
基金
北京大学肿瘤医院教育教学研究课题(2023-JY-07)。
关键词
肿瘤
濒死期护理
支持性照护
培训
德尔菲法
Neoplasm
Care of the dying
Supportive care
Training
Delphi technique
