Construction of an early postoperative frailty prevention nursing program for elderly patients with enterostomy
10.3760/cma.j.cn115682-20221024-05162
- VernacularTitle:老年肠造口患者术后早期衰弱预防护理方案的构建
- Author:
Yajuan ZHANG
1
;
Fanghui DONG
;
Yiwei XUE
;
Qunya YU
;
Jinxiu YAO
Author Information
1. 上海交通大学医学院附属第六人民医院重症医学科，上海 200130
- Keywords:
Enterostomy;
Colorectal neoplasms;
Elderly patients;
Frailty;
Delphi method
- From:
Chinese Journal of Modern Nursing
2023;29(16):2166-2172
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an early postoperative frailty prevention nursing program for elderly patients with enterostomy, so as to provide a basis for formulating targeted nursing programs.Methods:The overall research period was from July to October 2022. Guided by the frailty integration model and cross-cultural nursing theory, the content framework indicators of the early postoperative frailty prevention nursing program for elderly patients with enterostomy were initially constructed through literature research, semi-structured interviews, and combined with the results of the previous cross-sectional survey. A total of 20 gastroenterostomy and nursing experts from 10 ClassⅢ hospitals in 7 provinces and municipalities were selected through the purposive sampling. Delphi method was used to carry out 2 rounds of consultation with 20 experts to determine the early postoperative frailty prevention nursing program for elderly patients with enterostomy.Results:In the 2 rounds of expert consultations, the effective response rates of the questionnaire were all 100% (20/20), the expert authority coefficients were all 0.95, and the Kendall's W were 0.23 and 0.32 respectively ( P<0.05). The coefficient of variation of indicators at all levels ranged from 0.050 to 0.167. The final early postoperative frailty prevention nursing program for elderly patients with enterostomy included 5 first-level indicators, 23 second-level indicators, and 63 third-level indicators. Conclusions:The early postoperative frailty prevention nursing program for elderly patients with enterostomy is scientific and necessary, and can provide a theoretical basis for nurses to implement frailty prevention and nursing for elderly patients.
