基于患者报告结局的食管癌患者加速康复术后症状管理指导方案构建

高 墨涵, 于 媛*, 刘 淼, 符 晓, 于 凤霞
国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院胸外科

摘要


目的：构建食管癌ERAS患者基于患者报告结局的症状管理指导方案，为食管癌ERAS出院后患者及照顾者的症状管理参考依据。方法：基于文献回顾、结合项目组前期研究结果，初步构建食管癌ERAS患者自我管理指导方案。通过德尔菲法进行2轮专家函询，最终确定干预方案。结果：2轮专家函询问卷有效回收率均为100.0%，权威系数均为0.846，2轮专家的评分者一致性分别为0.997和0.991；变异系数分别为0~0.24和0~0.38；各条目重要性赋值均数为4.25~5。最终干预方案包括症状模块20项及生活影响模块6项共26个模块，每个模块分为轻度、中度、重度三种层级，包含共计78组指导策略。结论：基于患者报告结局的食管癌ERAS患者自我管理指导方案科学、可靠，可为指导、辅助食管癌ERAS患者自我管理提供依据，对指导临床护理工作具有重要意义。

关键词


患者报告结局；食管癌；症状管理；德尔菲法

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参考


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