口腔癌术后患者随访清单的构建与初步应用研究

doi:10.3761/j.issn.1672-9234.2025.04.017

摘要/Abstract

摘要：

目的构建供护士使用的口腔癌术后患者随访清单，以规范口腔癌术后患者的随访内容及流程。方法通过文献回顾、半结构化访谈制订口腔癌术后患者随访清单初稿。于2024年6月—8月，采用德菲尔法，对专家进行2轮函询，形成口腔癌术后患者随访清单。采用便利抽样法，2024年8月，由7名具备丰富随访经验的口腔科护士，采用随访清单对15例口腔癌术后患者进行随访，评估随访时长，了解护士、患者对随访清单使用的意见。结果 2轮函询的专家积极系数分别为94%（16/17）、100%（16/16）；专家权威系数分别为0.94、0.95；肯德尔协调系数分别为0.250和0.207（P<0.001）。最终形成的口腔癌术后患者随访清单包括4个一级条目（生理及躯体功能、心理功能、家庭和社会功能及健康需求）、14个二级条目、48个三级条目。对口腔癌术后患者的随访时长为（13.03±2.39）min，2例患者、2名护士提出了随访清单相关的优化建议。结论口腔癌术后患者随访清单内容全面、科学，能为口腔癌术后患者随访工作的开展提供参考。

关键词: 口腔癌, 随访, 清单, 德尔菲技术

Abstract:

Objective To develop a follow-up checklist for postoperative patients with oral cancer，in order to standardize the follow-up contents and procedures.Methods An initial draft of the follow-up checklist for postoperative patients with oral cancer was formulated through literature review and semi-structured interviews. From June 2024 to August 2024，the Delphi method was used to conduct two rounds of consultations with experts to finalize the follow-up checklist for these patients. Using convenience sampling，seven oral care nurses with extensive follow-up experience utilized the checklist to follow up with 15 postoperative patients with oral cancer in August 2024. The researchers then assessed the duration of the follow-up and gathered feedback from both nurses and patients on their experiences.Results The expert response rates for the two rounds of consultations were 94% （16/17） and 100%（16/16），respectively；the expert authority coefficients were 0.94 and 0.95，respectively；and the Kendall’s W coefficients of concordance were 0.250 and 0.207（P<0.001），respectively. The finalized follow-up checklist for postoperative patients with oral cancer comprised four primary items（physiological and physical function，psychological function，family and social function and health information needs），14 secondary items，and 48 tertiary items. The average duration of the follow-up for postoperative patients with oral cancer was（13.03±2.39） minutes；two patients and two nurses proposed suggestions for optimizing the follow-up checklist.Conclusion The follow-up list of postoperative patients with oral cancer is comprehensive and scientific，which can provide reference for the follow-up of postoperative patients with oral cancer.

Key words: Oral cancer, Follow-up, Checklist, Delphi technique

曹常乐, 梁润威, 郭琼. 口腔癌术后患者随访清单的构建与初步应用研究[J]. 中华护理教育, 2025, 22(4): 486-493.

CAO Changle, LIANG Runwei, GUO Qiong. Construction and application of follow-up list of postoperative patients with oral cancer[J]. Chinese Journal of Nursing Education, 2025, 22(4): 486-493.

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