Development of enhanced recovery after surgery nursing mode during perioperative period for thyroid neoplasms surgery patients based on Delphi method
10.3760/cma.j.issn.1674-2907.2019.27.016
- VernacularTitle:基于德尔菲法甲状腺肿瘤患者围手术期快速康复护理模式的构建
- Author:
Shiyu ZHANG
1
;
Lei ZHENG
;
Beiwen WU
Author Information
1. 上海交通大学医学院附属瑞金医院外科,上海 200025
- Keywords:
Thyroid neoplasms;
? Perioperative nursing;
? Delphi method;
? Enhanced recovery after surgery;
? Nursing mode
- From:
Chinese Journal of Modern Nursing
2019;25(27):3505-3509
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To develop a perioperative care model for patients with thyroid disease under the guidance of enhanced recovery after surgery and to provide a reference for the performance of enhanced recovery after surgery in clinical thyroid nursing mode. Methods? The enhanced recovery after surgery care strategies during the perioperative period for thyroid neoplasms patients were formulated by literature review in combination with focal group interviews and the Delphi method from October 2016 to February 2017. Results? The response rates for the questionnaires during the two rounds of communication with experts were both 100%(16/16). The authority coefficients (Cr) of experts for the 2 rounds were 0.870 3 and 0.882 8, respectively. It was found that the nursing mode based on enhanced recovery after surgery included 13 primary indicators and 32 secondary indicators. The significance score of these primary indicators averaged 0.90-0.95, with a full mark ratio of 0.50-0.87, while the significance score of these secondary indicators was 0.89-0.96, with a full mark ratio of 0.56-0.93. The coefficient of significance variance was 0-0.15, and Kendall's W was 0.227 (P＜ 0.01). Conclusions? The perioperative care strategies for thyroid surgery under the guidance of enhanced recovery after surgery are developed in this study using the Delphi method, which may provide a scientific reference for clinical nursing work.
