胃肠道肿瘤患者术后口服营养补充依从性护理方案的构建
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女,硕士在读,护师

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常州市卫生健康青苗人才培养工程(CZQM2020005)


Development of a program for improving adherence to oral nutritional supplementation postoperatively in patients with gastrointestinal tumors
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    目的 构建胃肠道肿瘤患者术后口服营养补充依从性护理干预方案,为提高胃肠道肿瘤术后口服营养补充依从性提供参考。方法 以行为改变轮理论为理论基础,通过文献回顾与半结构式访谈构建护理干预方案初稿。通过德尔菲法对19名专家进行2轮函询,确定最终方案。结果 2轮函询问卷的有效回收率均为100%,专家权威系数为0.910,各级指标的重要性赋值为4.11~5.00分,最终形成包含3个一级条目、6个二级条目、24个三级条目的胃肠道肿瘤患者术后口服营养补充依从性护理干预方案。结论 构建的基于行为改变轮理论的胃肠道肿瘤患者术后口服营养补充依从性护理干预方案具有较好的科学性和全面性,对于提高患者口服营养补充依从性具有重要作用。

    Abstract:

    Objective To develop a nursing intervention program for improving adherence to oral nutritional supplementation post-operatively in patients with gastrointestinal tumors. Methods Based on the Behavior Change Wheel,the draft of a nursing intervention program was developed through literature review and semi-structured interview.Then 2 rounds of expert consultation were conducted with 19 experts through the Delphi method. Results The return rate of questionnaires was 100% in both rounds, and the authority coefficient of the expert was 0.910. The mean score of importance for each item ranged from 4.11 to 5.00 points. The nursing intervention program included three primary indicators, six secondary indicators, and twenty-four tertiary indicators. Conclusion This nursing intervention program developed based on the Behavior Change Wheel for improving adherence to oral nutritional supplementation in postoperative gastrointestinal tumor patients is scientific and comprehensive, which may play a positive role in this population.

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黄玉佳,韩小云,蒋君芳,王德生,李娇蓉,李红燕,陈卫波.胃肠道肿瘤患者术后口服营养补充依从性护理方案的构建[J].护理学杂志,2025,(14):96-100

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  • 收稿日期:2025-02-10
  • 最后修改日期:2025-04-26
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  • 在线发布日期: 2025-08-13