Construction of an evaluation index system for community hospice comfort care needs based on Delphi method
10.3760/cma.j.cn114798-20241011-00805
- VernacularTitle:社区安宁疗护舒适照护需求评估指标体系的构建
- Author:
Wen CHEN
1
;
Zhijie YU
;
Huichao ZHENG
;
Yuezhong TANG
;
Yaling WANG
Author Information
1. 上海市徐汇区康健街道社区卫生服务中心安宁疗护科，上海200233
- Keywords:
Hospice care;
Comfort care;
Need;
Evaluation;
Delphi method
- From:
Chinese Journal of General Practitioners
2024;23(12):1276-1283
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an evaluation index system for community hospice comfort care.Methods:This was a cross-sectional study. Two rounds of expert consultations were conducted using modified Delphi method from June to September 2023, 14 experts in the field of palliative care nursing were invited to participate in the consultations. Based on the consultation results, an evaluation index system for comfort care of community hospice was preliminarily developed.Results:All consultation experts were females, with an average age of (48±8) years; 9 held senior professonal titles, and 12 had more than 5 years of palliative care-related working experiencs. The positive coefficient of correspondence in two rounds of consultations was 100%, and the degree of authority was 0.841 and 0.834, respectively. The expert coordination coefficients for the importance of secondary indicators were 0.281 (χ 2=182.65) and 0.284 (χ 2=132.98), and the expert coordination coefficients for the operability of secondary indicators were 0.231 (χ 2=150.12) and 0.252 (χ 2=118.01), respectively. The constructed evaluation index system of hospice comfort care consisted of 5 primary indexes and 32 secondary indexes. The five primary indexes were environmental comfort, physiological comfort, psychological comfort, spiritual comfort and social comfort with a weight coefficient of 0.202 3, 0.205 3, 0.205 3, 0.199 4 and 0.187 7, respectively. Conclusion:An evaluation index system for comfort care in community hospice has been preliminarily developed in this study, after validation it would provide a reference for assessing the comfort needs of patients with palliative care.
