Construction of self-management intervention program for breast cancer patients undergoing chemotherapy based on chronic disease trajectory model
10.3760/cma.j.cn211501-20230404-00811
- VernacularTitle:基于慢性疾病轨迹模式的乳腺癌化疗患者自我管理干预方案的构建
- Author:
Yongqi WANG
1
;
Xi ZHANG
;
Meng NIU
;
Yueyue JIANG
;
Xia GUO
;
Xue YANG
Author Information
1. 宁夏医科大学护理学院，银川 750000
- Keywords:
Breast neoplasms;
Delphi technique;
Self-management;
Chronic disease trajectory model;
Program construction;
Chemotherapy
- From:
Chinese Journal of Practical Nursing
2023;39(34):2660-2668
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a self-management intervention program for patients with adenocarcinoma chemotherapy based on chronic disease trajectory model, and to provide reference for clinical nursing intervention.Methods:From October 2021 to June 2022, a research team was established. Based on the chronic disease trajectory model and self-management theory, through preliminary quantitative research, literature review and semi-structured interview, the first draft of the intervention plan was prepared. 24 experts were selected for two rounds of Delphi expert correspondence consultation to determine the self-management intervention plan for breast cancer patients undergoing chemotherapy based on the trajectory model of chronic disease.Results:The effective questionnaire recovery rates of the two rounds of expert letter consultation were 100%, and the coefficient of expert authority degree was 0.805 and 0.863, respectively. The mean values of importance were 4.21- 4.96 and 4.46 - 5.00, the coefficients of variation were 0.00 - 0.19 and 0.00-0.17, and the Kendall concordant coefficients were 0.123 and 0.149 ( both P<0.01). Finally, the self-management intervention scheme for breast cancer chemotherapy patients based on the trajectory model of chronic disease was constructed, including 3 first-level indicators, 6 second-level indicators and 27 third-level indicators. Conclusions:The self-management intervention program for patients with adenocarcinoma chemotherapy based on chronic disease trajectory model constructed in this study can provide a certain reference for clinical nurses to carry out targeted self-management interventions.
