护理学报2024，Vol.31Issue(15)：34-39,6.DOI:10.16460/j.issn1008-9969.2024.15.034
基于循证和中医理念的乳腺癌化疗患者癌因性疲乏护理干预方案的构建
Construction of nursing protocol for cancer-related fatigue in breast cancer patients undergoing chemotherapy based on evidence-based practice and theory of chinese medicine
摘要
Abstract
Objective To develop a nursing protocol for cancer-related fatigue in breast cancer patients undergoing chemotherapy based on the combination of evidence-based medicine and traditional Chinese medicine(TCM)theory,and to improve patients'cancer-related fatigue,quality of life,and health.Methods Following the evidence-based nursing approach,the best evidence on TCM nursing for cancer-related fatigue in breast cancer patients undergoing chemotherapy was retrieved,evaluated,and summarized.Basic framework of nursing protocol for cancer-related fatigue in breast cancer patients undergoing chemotherapy was constructed based on TCM theory.Delphi method was used to conduct two rounds of survey among 18 experts,and an expert panel meeting was held to identify the items at each level of the protocol.The protocol included measures such as fatigue screening,health education,and personalized fatigue management.ResuIts A total of 18 experts participated in two rounds of survey and one expert panel meeting.The response rate for both rounds of survey was 100%,and the expert authority coefficient was 0.86 and 0.86,respectively.Kendall's W value was 0.08(x2=19.89,P=0.13)and 0.15(x2=90.99,P＜0.001),respectively.The final nursing protocol was developed through discussions in the expert panel meeting.Conclusion The nursing protocol for cancer-related fatigue in breast cancer patients undergoing chemotherapy constructed based on evidence-based medicine and TCM theory can provide reference and guidance for clinical nursing and help improve patients'quality of life.关键词
乳腺癌/化疗/癌因性疲乏/中医护理/循证护理Key words
breast cancer/chemotherapy/cancer-related fatigue/TCM nursing/evidence-based nursing分类
医药卫生引用本文复制引用
戴美芬,区洁芬,梁钰贞,杨静,尤燕燕,杨清,昌广婷,区幸莹,黄传蔷,陈智星..基于循证和中医理念的乳腺癌化疗患者癌因性疲乏护理干预方案的构建[J].护理学报,2024,31(15):34-39,6.基金项目
佛山市科学技术局佛山市自筹经费类科技创新项目(编号:2220001004015) （编号:2220001004015）
