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| 基于格林模式的直肠癌低位前切除患者家庭照顾者照顾能力干预方案的构建 |
| Construction of an intervention program for the caregiving ability of family caregivers of patients undergoing low anterior resection for rectal cancer based on the Green model |
| 投稿时间：2026-04-22 修订日期：2026-07-13 |
| DOI： |
| 中文关键词: 直肠癌 低位前切除术 低位前切除综合征 预防性肠造口 德尔菲法 |
| 英文关键词: Rectal cancer low anterior resection Low anterior resection syndrome preventive enterostomy Delphi method |
| 基金项目:2025年度安徽医科大学护理学院研究生青苗培育计划项目（Hlqm12025085）；安徽省转化医学研究院科研基金项目（2025zh-09）；安徽省教育厅科学研究项目（2025AHGXZK20012） |
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| 中文摘要: |
| 目的:构建基于格林模式的直肠癌低位前切除患者家庭照顾者照顾能力干预方案。方法:以格林模式为指导,采用文献回顾、质性研究的方法,拟定基于格林模式的直肠癌低位前切除患者家庭照顾者照顾能力干预方案初稿,经德尔菲法专家函询修订完善后,最终确定方案终稿。结果:对15名专家进行了2轮专家函询,问卷回收率均为100%；专家权威系数均为0.92。第1轮专家函询重要性、可行性的肯德尔和谐系数分别0.163、0.138,第2轮专家函询重要性、可行性的肯德尔和谐系数分别为0.218、0.187(均P<0.001)。构建的临床方案包括3个一级指标、5个二级指标、39个三级指标。采用便利抽样法邀请15名临床专家及15名家庭照顾者对方案的条目设置、实施流程及表达方式进行可行性和可接受性评价,结果显示方案具有较好的临床适用性和可操作性。结论:构建的直肠癌低位前切除患者家庭照顾者照顾能力干预方案在科学性、可靠性、实用性方面表现良好,能够为临床提供理论依据和实践参考。 |
| 英文摘要: |
| Objective To develop an intervention plan for the caregiving ability of family caregivers of patients undergoing low anterior resection for rectal cancer based on the Green model. Methods Guided by the Green model, using the methods of literature review and qualitative research, a draft intervention plan for the care ability of family caregivers of patients undergoing low anterior resection for rectal cancer based on the Green model was formulated. After revision and improvement through expert consultation using the Delphi method, the final version of the plan was determined. Results A total of 15 experts were subjected to two rounds of expert inquiries. The questionnaire recovery rate was 100% for all; the expert authority coefficients were all 0.92. The Kendall"s coefficient of agreement for the importance and feasibility in the first round of expert inquiries was 0.163 and 0.138 respectively, while in the second round it was 0.218 and 0.187 respectively. The differences were statistically significant (P<0.05). The constructed clinical plan included 3 primary indicators, 5 secondary indicators, and 39 tertiary indicators. Using the convenience sampling method, 15 medical and nursi Facilitated by a convenience sampling method, 15 clinical experts and 15 family caregivers were invited to evaluate the feasibility and acceptability of the framework items, implementation procedures, and formulation styles of the proposed protocol. The results demonstrate favorable clinical applicability and operability of the protocol. Conclusion The intervention plan for the care ability of family caregivers of patients undergoing low anterior resection for rectal cancer has demonstrated good scientificity, reliability and practicability, and can provide theoretical basis and practical references for clinical practice. |
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