临床与病理杂志2024，Vol.44Issue(2)：278-285,8.DOI:10.11817/j.issn.2095-6959.2024.240034
结直肠癌围手术期患者营养护理质量评价指标体系的构建
Construction of an evaluation index system for nutritional nursing in perioperative patients with colorectal cancer
摘要
Abstract
Objective:Nutritional status of patients with colorectal cancer during the perioperative period directly affects the surgical outcomes and prognosis.Reasonable nutritional care can effectively reduce the incidence of complications and improve the quality of life of patients.However,there is a lack of unified and scientific standards for evaluating the quality of nutritional care.This study aims to provide a scientific basis for nutritional care for patients with colorectal cancer during the perioperative period by constructing an evaluation index system for the quality of nutritional nursing. Methods:Based on theoretical guidance,evidence-based results,and previous research by the research team,a draft of the evaluation index system for the quality of nutritional nursing for patients with colorectal cancer during the perioperative period was formulated,consisting of 4 structural indicators,3 process indicators,and 2 outcome indicators.22 experts in colorectal cancer nutrition from tertiary hospitals in 6 provinces and cities in China were consulted.After collecting expert opinions,indicators were revised and improved based on criteria of importance rating mean>3.50 and coefficient of variation<0.25. Results:A total of 2 rounds of expert consultations were conducted with a 100%response rate and recovery rate for both rounds.The coefficient of expert authority was 0.93,indicating a high level of authority.The overall Kendall harmony coefficients for the two rounds of consultations were 0.23 and 0.32(P<0.01),indicating a trend of consensus among experts.After 2 rounds of expert consultations,a pool of items for the evaluation index system for the quality of nutritional nursing for patients with colorectal cancer during the perioperative period was preliminarily constructed,including 3 primary indicators,9 secondary indicators,and 56 tertiary indicators. Conclusion:Construction of the evaluation index system for the quality of nutritional nursing for patients with colorectal cancer during the perioperative period is of great importance,scientific,and practical.It can guide the quality evaluation and continuous improvement of specialized nutritional nursing for patients with colorectal cancer during the perioperative period in clinical practice.关键词
结直肠癌/围手术期/营养/护理质量/评价指标体系Key words
colorectal cancer/perioperative period/nutrition/nursing quality/evaluation index system引用本文复制引用
俞群亚,张亚娟,薛翌蔚,王晓伟..结直肠癌围手术期患者营养护理质量评价指标体系的构建[J].临床与病理杂志,2024,44(2):278-285,8.基金项目
上海市护理学会优秀青年人才育苗计划(沪护会[2020]29号) （沪护会[2020]29号）
上海交通大学医学院科技基金(jyhz2114) （jyhz2114）
中华医学会杂志社2021-2022年护理学科研究课题(CMAPH-NRI20211040).This study was supported by the Shanghai Nursing Association Outstanding Young Talents Seedling Rearing Program[Shanghai Nursing Association(2020)No.29],the Science and Technology Foundation,School of Medicine,Shanghai Jiao Tong University(jyhz2114),and the Chinese Medical Association Journal 2021-2022 Nursing Research Topic(CMAPH-NRI20211040),China （CMAPH-NRI20211040）
