Objective: 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.
Methods: 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.
Results: 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 (p < 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.
Conclusion: 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.
目的建立基于德尔菲法的多学科管理模式，以指导护理实践，降低肿瘤患者CVAD相关性皮肤损伤（CASI）的发生率：方法：在文献综述和焦点小组访谈的基础上，初步确定肿瘤患者 CASI 管理模式的项目库。方法：在文献综述和焦点小组访谈的基础上，初步确定了肿瘤患者 CASI 管理模式的项目库，并采用德尔菲法对 36 位具有权威性和代表性的专家进行了两轮函询，以确定肿瘤患者 CASI 多学科管理模式的内容和指标权重：研究小组中大部分专家具有本科及以上学历。90%以上的专家工作年限超过10年；专业领域包括肿瘤护理、静脉治疗、伤口口腔科、皮肤科等。两轮专家通讯问卷回收率为 100%。专家权威系数为 0.898，表明专家具有较高的权威性。Kendall和谐系数分别为0.193和0.250，差异有统计学意义（P 结论：两轮专家通信问卷的回收率为100%：基于德尔菲法构建的肿瘤患者CASI多学科管理模式具有较高的可靠性和科学性，多学科管理模式在肿瘤患者CASI管理中的探索将为中心静脉置管护理提供新的方法和新的思路，也将为静脉输液专业发展和质量提高提供科学依据和实践经验。
{"title":"Application and effect evaluation of multidisciplinary team management model: On central venous access device associated skin impairment based on Delphi method.","authors":"Ji-Yue Li, Jia Li, Yu-Ying Fan, Xi-Ling Lin, Chun-Li Huang, Hui-Ying Qin","doi":"10.1177/11297298221075166","DOIUrl":"10.1177/11297298221075166","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>p</i> < 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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":10230,"journal":{"name":"Chinese Science Bulletin","volume":"43 1","pages":"759-766"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73872739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Focus on health impact of new indoor pollutants on offspring","authors":"Lin Qiao, Qihong Deng","doi":"10.1360/tb-2023-1060","DOIUrl":"https://doi.org/10.1360/tb-2023-1060","url":null,"abstract":"","PeriodicalId":10230,"journal":{"name":"Chinese Science Bulletin","volume":"80 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140470045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号