Advance care planning interventions for end-stage cancer patients based on Watson care theory
10.3760/cma.j.cn115682-20201025-05907
- VernacularTitle:基于Watson关怀理论构建终末期肿瘤患者预立医疗照护计划辅助干预体系
- Author:
Huifeng LI
1
;
Kaijia XU
;
Fangfang JIA
;
Zichen WANG
;
Dongling LIU
Author Information
1. 郑州大学第一附属医院肿瘤内科，郑州 450052
- Keywords:
Neoplasms;
Advance care planning;
Watson care theory;
Semi-structured interviews;
Expert enquiry
- From:
Chinese Journal of Modern Nursing
2021;27(18):2463-2467
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct advance care planning (ACP) interventions for end-stage cancer patients based on Watson care theory, so as to provide basis for ACP practice in end-stage cancer patients.Methods:Semi-structured interviews were conducted to establish items pool for "ACP interventions based on Watson care theory for end-stage cancer patients ". Delphi expert inquiry method was used to evaluate, revise and supplement the items, and the final version of "ACP interventions for end-stage cancer patients" was formed. The positive coefficient and authority coefficient of experts were calculated, and Kendall harmony coefficient and variation coefficient were used to evaluate the degree of expert consensus.Results:The "ACP interventions for end-stage cancer patients" was constructed with 19 items in 4 dimensions, including 7 items in the preparation phase, 6 items in the initiation phase, 4 items in the execution phase and 2 items in the follow-up phase. The effective recovery rates of the 2 rounds of questionnaire were both 100%. The authority coefficient of expert consultation was 0.835. The coefficient of variation of each item was 0 to 0.21. The Kendall harmony coefficients of the two rounds of consultation were 0.290 and 0.267, respectively.Conclusions:The ACP interventions for end-stage tumor patients constructed in this study has good authority and coordination, and reflects Watson care theory, which has certain reference significance for clinical ACP implementation.
