Preliminary construction of a risk assessment scale for flap necrosis after flap transplantation in patients with head and neck tumors based on the Delphi method
10.3760/cma.j.cn115682-20211101-04914
- VernacularTitle:基于德尔菲法的头颈部肿瘤患者皮瓣移植术后皮瓣坏死风险评估量表的初步构建
- Author:
Yaru CHEN
1
;
Rongyu HUA
;
Guanmian LIANG
;
Fangying YANG
Author Information
1. 浙江中医药大学护理学院，杭州 310053
- Keywords:
Head and neck neoplasms;
Flap necrosis;
Risk assessment;
Delphi method;
Paired comparison
- From:
Chinese Journal of Modern Nursing
2022;28(13):1753-1758
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a risk assessment scale for flap necrosis after flap transplantation in patients with head and neck tumors, so as to provide an effective reference for clinical implementation of flap necrosis risk screening.Methods:The overall study period was from December 2020 to June 2021. Based on evidence, the item pool of the risk assessment scale for flap necrosis after flap transplantation in patients with head and neck tumors was preliminarily established. Using the Delphi method, 16 experts engaged in flap transplantation were selected for three rounds of consultation, and the risk assessment scale for flap necrosis after flap transplantation in patients with head and neck tumors was initially established. The weights were given to all indicators through the paired comparison.Results:In the first round, 16 questionnaires were distributed, and 15 valid questionnaires were recovered. In the second and third rounds, 15 questionnaires were distributed, and 15 valid questionnaires were recovered. Expert authority coefficients of the three rounds of expert consultation were 0.851, 0.853 and 0.853, respectively. The Kendall coordination coefficients of the three rounds of expert consultation were 0.377, 0.302 and 0.302 ( P<0.05) . The final constructed risk assessment scale for flap necrosis after flap transplantation in patients with head and neck tumors included 3 first-level indicators, 8 second-level indicators, and 32 third-level indicators. The weights were assigned to each indicator by paired comparison, and the weights of the first-level indicator patient factor, treatment factor, and nursing factor were 0.36, 0.38, and 0.26, respectively. Conclusions:The risk assessment scale for flap necrosis after flap transplantation in patients with head and neck tumors constructed by combining evidence-based and Delphi method is highly scientific and reliable. Its clinical applicability and effectiveness can be further verified in the future clinical flap evaluation process.
