Exploration of syndrome differentiation nursing recommendations for end-of-life patients with digestive symptoms
10.3760/cma.j.issn.1674-2907.2020.03.012
- VernacularTitle:临终患者消化道症状辨证施护推荐方案的研究
- Author:
Daiqi JIANG
1
;
Guijuan HE
;
Caili PEI
Author Information
1. 浙江省温岭市第一人民医院手足外科
- Keywords:
Delphi method;
End-of-life patients;
Syndrome differentiation nursing;
Traditional Chinese medicine nursing operation;
Digestive symptoms
- From:
Chinese Journal of Modern Nursing
2020;26(3):342-350
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct the syndrome differentiation nursing plan for end-of-life patients with digestive symptoms so as to provide an objective evidence for the standardizing and popularizing the traditional Chinese medicine (TCM) nursing operation in end-of-life patients. Methods The initial syndrome differentiation nursing recommendations for end-of-life patients with digestive symptoms were constructed based on literature review combined with digestive symptoms characteristics of end-of-life patients including the digestive syndromes end-of-life patients, TCM nursing operation, operation method and considerations. The method of Delphi expert consultation was used to two rounds of consultation by 16 experts and to calculate the expert positive coefficients and expert authority coefficient (Cr); item importance was analyzed with the mean, variation coefficient (CV) and Kendall's concordance coefficient (Kendall's W) to finally determine the syndrome differentiation nursing plan for end-of-life patients with digestive symptoms. Results Around two rounds of expert consultation, there were 16 valid questionnaires respectively. The expert positive coefficients and Cr were 100％ and 0.89 respectively. Variation coefficients of all indexes ranged from 0.05 to 0.27,which were <0.03; the Kendall's W ranged from 0.13 to 0.43 (P<0.01). Conclusions The syndrome differentiation nursing plan for end-of-life patients with digestive symptoms based on literature review and Delphi method standardizes the application of TCM nursing operation in end-of-life patients which has practical value on improving the quality of life of end-of-life patients and availability of medical resources.
