基于赋能理论的肝癌患者居家营养管理方案的构建OA
Development of an empowerment theory-based home nutritional management program for patients with liver cancer
目的 基于赋能理论构建肝癌患者居家营养管理方案.方法 系统检索相关文献,进行文献汇总、小组讨论拟定方案初稿.采用德尔菲法对方案初稿进行2轮专家函询,基于函询结果进行修订和完善.结果 2轮专家函询问卷回收率均为100%,第2轮的专家权威系数为0.93,各条目的重要性评分为4.07～5.00分,变异系数为0～0.21,肯德尔和谐系数为0.21(P<0.001);第2轮专家函询各条目的可行性评分为3.71～4.93分,变异系数为0.05～0.23,肯德尔和谐系数为0.21(P<0.001).最终形成包含5个一级条目、12个二级条目、40个三级条目的基于赋能理论肝癌患者居家营养管理方案.结论 本研究构建的基于赋能理论肝癌患者居家营养管理方案具有一定的科学性和必要性,可为临床应用提供参考.
Objective To develop a home nutrition management program for patients with liver cancer based on empowerment theory.Methods After a systematic literature search,a preliminary program was formulated through literature synthesis and group discus-sions.Two rounds of Delphi expert consultations were subsequently performed to revise and improve the program according to the experts'feedback.Results The response rates for both rounds of expert consultation questionnaires were 100%.The expert authority coefficient for the second round was 0.93,with importance scores for each item ranging from 4.07 to 5.00,a coefficient of variation from 0 to 0.21,and a Kendall's W coefficient of 0.208(P<0.001).The feasibility scores for each item in the second round ranged from 3.71 to 4.93,with a coefficient of variation from 0.05 to 0.23,and a Kendall's W coefficient of 0.21(P<0.001).The final program consisted of 5 first-level,12 secondary-level,and 40 third-level items.Conclusion Empowerment theory-based home nutritional management program for patients with liver cancer constructed in this study exhibits reasonable scientific rigor and practical necessity,and provides references for clinical application.
朱方方;张莹
武汉大学中南医院 肝胆胰与骨软组织肿瘤放化疗科,湖北 武汉 430000武汉大学中南医院 肝胆胰与骨软组织肿瘤放化疗科,湖北 武汉 430000
医药卫生
肝癌患者赋能理论居家营养德尔菲法
patient with liver cancerempowerment theoryhome nutritionDelphi method
《护理学报》 2026 (8)
59-64,6
中国老年保健医学研究会基金项目(A-WS-2020-KY-001-23)
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