基于德尔菲法构建肿瘤危重症患者家属需求量表

  目的   运用德尔菲法构建肿瘤危重症患者家属需求量表，为准确评估、满足肿瘤危重患者家属需求提供依据。  方法   基于前期研究基础，通过文献查阅、临床观察等方式形成肿瘤危重症患者家属需求初始量表条目池，然后采用德尔菲专家咨询法，邀请肿瘤重症医护、护理管理、护理教育、护理心理、公共卫生领域专家共计19人进行2轮函询，形成最终版肿瘤危重症患者家属需求量表。  结果   2轮专家函询的积极系数均为1.00；专家权威系数分别为 0.94、0.95；专家意见的协调系数分别为0.54和0.543。最终形成包含7个一级条目（维护自身健康、获得医护人员支持、知晓患者病情及疾病相关知识、探视患者、获得应对迁移应激的指导、参与患者照护、必要时获得安宁疗护团队的支持）、30个二级条目的肿瘤危重症患者家属需求量表。  结论  基于德尔菲法构建的肿瘤危重症患者家属需求量表，方法科学、可靠，可为危重症肿瘤患者家属需求的评价提供依据，但还需进一步进行实证研究。

Construction of Family Needs Scale of Critically Ill Patients with Tumor Based on Delphi Method

  Objective  To construct the family needs scale of critically ill tumor patients by using Delphi method, and to provide a basis for accurately evaluating and m-e eting the needs of the family members of critically ill tumor patients.   Methods   Based on the previous research foundation, through literature review, clinical observation, an initial pool of items for the family members of critically ill patients with cancer was formed. Using the Delphi expert consultation method, 19 experts were selected for two rounds of correspondence to form the final version of the tumor risk scale. Needs scale for family members of critically ill patients.   Results  The positive coefficients of the two rounds of expert correspondence were both 1.00. The authoritative coefficients of the two rounds of experts were 0.94 and 0.95. The coordination coefficients were 0.54 and 0.543, respectively. Through 2 rounds of Delphi expert consultation, the final formation includes 7 first-level items（maintaining one’s own health, obtaining support from medical staff, knowing the patient’s condition and disease-related knowledge, visiting patients, obtaining guidance on coping with migration stress, participating in patient care, and when necessary Obtained the support of the palliative care team）, 30 second- level items of the family needs scale of critically ill patients with cancer.   Conclusion  The family needs scale of critically ill tumor patients based on the Delphi method is scientific and reliable, and can be used as an evaluation tool for evaluating the needs of family members of critically ill tumor patients.