Developing an evidence-based preoperative prehabilitation program for prostate cancer patients
10.3760/cma.j.cn211501-20240803-02090
- VernacularTitle:基于循证构建前列腺癌患者术前预康复方案
- Author:
Yuan CHEN
1
;
Mengxin GAO
;
Xiaoling HUA
;
Jing WANG
;
Chunxiang LIU
;
Chao CAI
;
Hongling SUN
Author Information
1. 广州医科大学附属第一医院泌尿外科，广州 510230
- Publication Type:Journal Article
- Keywords:
Prostate neoplasms;
Delphi technique;
Clinical protocols;
Evidence-based nursing;
Prehabilitation
- From:
Chinese Journal of Practical Nursing
2025;41(24):1849-1857
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a preoperative prehabilitation program for prostate cancer based on evidence-based and Delphi method, so as to provide theoretical basis for medical staff to carry out preoperative prehabilitation research for prostate cancer patients.Methods:From June 2023 to March 2024, the first draft of the prehabilitation plan for prostate cancer before surgery was formed through evidence summary, semi-structured interviews and expert meetings. The experts in related fields were selected for two rounds of Delphi expert consultation. The items were revised according to the expert consultation opinions to establish the final plan.Results:Totally 16 experts were included, aged (43.19 ± 7.57) years. Five were males and 11 were females. The response rates of the two rounds of expert consultation were both 16/16, and the authority coefficients of the two rounds expert consultation were both 0.85. The Kendall coordination coefficients of the importance and feasibility of the items in the second round of consultation were 0.213 and 0.224, both P<0.05. In the second round of consultation, the value of importance assignment of items at all levels was 4.19-4.94 points, and the full score rate was 43.75%-93.75%. The final scheme included 5 first-level items, 13 second-level items, and 34 third-level items. Conclusions:The preoperative prehabilitation program for prostate cancer is scientific, importanceand applicable, which provides a theoretical basis for clinical preoperative prehabilitation for prostate cancer patients.
