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
摘要
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。
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