Development and application of a follow-up checklist for postoperative patients with cervical cancer
10.3761/j.issn.0254-1769.2023.24.007
- VernacularTitle:宫颈癌术后患者随访清单的制订及应用
- Author:
Yue SUN
1
;
Zhimin WANG
;
Ying HU
;
Jingling GE
Author Information
1. 110000 沈阳市 中国医科大学附属盛京医院第二微创妇科病房
- Keywords:
Cervical Cancer;
Follow Up;
Delphi Method;
Checklist;
Continuity of Care;
Oncologic Nursing
- From:
Chinese Journal of Nursing
2023;58(24):2989-2995
- CountryChina
- Language:Chinese
-
Abstract:
Objective To formulate a scientific and standardized follow-up checklist for postoperative patients with cervical cancer,and provide a scientific tool to support the follow-up work.Methods The first draft of the follow-up checklist was constructed through literature review and semi-structured interviews,and the final draft of the follow-up checklist was formed by conducting 2 rounds of correspondence with experts using the Delphi method from October to December 2022,screening experts'opinions and revising and improving the checklist.The convenience sampling method was adopted to select 8 nurses and 15 patients with cervical cancer after surgery from a tertiary A hospital in Liaoning Province from February to March 2023 as the research subjects.The nurses made telephone follow-up visits to the patients with the postoperative follow-up list and evaluated the follow-up list.Results The positive coefficients of the experts in the 2 rounds of correspondence were 88.89%and 100%,respectively;the authoritative coefficients were 0.88 and 0.89,respectively;the Kendal harmony coefficient of the primary,secondary and tertiary indicators were 0.177,0.245 and 0.179 in the first round and 0.170,0.118 and 0.107 in the second round,respectively(P<0.05).The final follow-up checklist for postoperative patients with cervical cancer included 4 primary indicators of physical and daily life support,information support,psychological support,and social support,12 secondary indicators,and 45 tertiary indicators.Both nurses and patients believed that the follow-up list was comprehensive with strong professional and clinical practicability.Conclusion The follow-up checklist is reasonable in structure,comprehensive in content,and reliable,specialized and practical,which can provide a scientific and standardized tool to support post-discharge follow-up of patients with cervical cancer.