Construction of a plan for relieving fatigue in breast cancer patients undergoing chemotherapy
10.3760/cma.j.cn211501-20210120-00212
- VernacularTitle:乳腺癌根治术后化疗患者疲乏缓解方案的构建
- Author:
Yuping GAO
1
;
Meifeng LIU
;
Xiumei QI
;
Cheng'e YU
;
Fuxia LI
;
Hongyuan CHEN
;
Rui LI
Author Information
1. 山东第一医科大学附属省立医院东院护理部,济南 250001
- Keywords:
Breast neoplasms;
Chemotherapy;
Fatigue;
Plan construction
- From:
Chinese Journal of Practical Nursing
2021;37(21):1615-1622
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a plan for relieving fatigue in breast cancer patients undergoing chemotherapy.Methods:We combined literature and clinical experience to construct a fatigue relief plan for breast cancer chemotherapy patients from August to October 2020. A total of 21 domestic two-glandular surgeons, nursing experts, and surgical nursing teachers were invited to conduct 2 rounds of Delphi expert letter inquiries, and analyzed the positive coefficient of experts and the degree of expert authority to evaluate the reliability of experts, and evaluated the coordination degree of expert opinions through the coefficient of variation and Kendall's harmony coefficient.Results:The effective response rate of the two rounds of questionnaires was 100%, the enthusiasm coefficient of experts was very high. The authority coefficients of the 2 rounds of consulting experts were 0.89 and 0.90 respectively (all>0.7), expert authority coefficient was very high. The Kendall harmony coefficients of the first-level and second-level indicators in the first round were 0.160 and 0.086, statistically significant (all P<0.05). In the second round, the Kendall′s harmony coefficients of dimension, first-level and second-level indicators were 0.190, 0.211, 0.378, statistically significant (all P<0.05). The coefficient of variation of each item in the second round was 0.04-0.12, and the full score rate was 28.57%-95.24%. All met the index screening standards established by the scheme. Finally, 3 dimensions, 3 first-level indicators and 16 third-level indicators were determined. Conclusions:The fatigue relief plan for breast cancer chemotherapy patients has necessity, practicality and scientificity.It has guiding significance for standardizing the fatigue relief of patients undergoing chemotherapy after radical mastectomy.