中国农村卫生事业管理2024，Vol.44Issue(10)：709-716,8.DOI:10.19955/j.cnki.1005-5916.2024.10.005
运用德尔菲法构建晚期癌症患者"医院-社区"安宁疗护模式的研究
Construction of a hospice care model for late-stage cancer patients in the hospital-community setting using the Delphi method
摘要
Abstract
Objective To develop a hospice care model for late-stage cancer patients through hospital-community collaboration based on the discharge planning model,providing insights and recommendations for the development of cross-institutional hospice care.Methods From August to October 2023,an initial indicator sys-tem was constructed based on literature review and semi-structured interviews.The Delphi method was employed with 11 experts in two rounds of consultation to evaluate the indicators on a scale of 1 to 5 for importance and feasi-bility.Results Through two rounds of expert consultation,with a 100％response rate for both rounds,the expert judgment coefficient was 0.95,and the expert familiarity coefficient was 0.89.The final indicator system consisted of 7 primary indicators(e.g.,purpose of continuity of hospice care),28 secondary indicators(e.g.,comprehen-siveness,continuity),and 59 tertiary indicators(e.g.,stress relief,spiritual care,family support).Kendall's coefficients for two primary indicators in the first round of expert consultation were 0.068 and 0.098,while in the second round,they were 0.103 and 0.125.Conclusion The hospice care model constructed in this study is comprehensive and scientifically reliable.Developing a hospital-community collaborative hospice care model for late-stage cancer patients can help address issues such as unclear hospital-community functional positioning and lack of continuity in hospice care.关键词
安宁疗护/出院计划模式/晚期癌症患者/"医院—社区"联动/德尔菲法/信息化建设Key words
Hospice care/Discharge planning model/Late-stage cancer patient/Hospital-community col-laboration/Delphi method/Information technology construction分类
医药卫生引用本文复制引用
何秀雯,张梦歌,杨一龙..运用德尔菲法构建晚期癌症患者"医院-社区"安宁疗护模式的研究[J].中国农村卫生事业管理,2024,44(10):709-716,8.基金项目
国家自然科学基金项目(72004232) （72004232）
浙江省医药科技计划项目(2024KY243) （2024KY243）
杭州师范大学科研启动经费项目(KYQD-2023-154) （KYQD-2023-154）
