【摘要】 目的 基于支持性照护理论构建老年维持性血液透析患者支持性照护方案。方法 采用文献回顾和研究小组讨论的方法，形成老年维持性血液透析患者支持性照护方案初稿，通过德尔菲专家函询，确定照护方案的内容。结果 共进行2轮专家函询，2轮问卷有效回收率均为100%,专家权威系数分别为0.917、0.953,肯德尔协调系数分别为0.188、0.396(P<0.001)。2轮函询后，方案的各条目重要性赋值均分为4.333～4.933,变异系数为0.052～0.188,形成的最终方案包括6个一级指标、18个二级指标和51个三级指标。结论 该研究形成的老年维持性血液透析患者支持性照护方案具有科学性和临床适用性，可为血透人群的临床管理实践提供理论依据。更多还原

【Abstract】 Objective Construction of a supportive care program for elderly maintenance hemodialysis patients based on supportive care theory. Methods The first draft of the protocol was developed using the literature review method and study group discussions, and the content of the supportive care protocol for maintenance hemodialysis patients was determined through two rounds of Delphi expert correspondence. Results A total of two rounds of expert correspondence were conducted, and the effective recall rate of the two rounds of questionnaires was 100%, the expert authority coefficients was 0.917 and 0.953, respectively, and the Kendall coordination coefficients were 0.188 and 0.396,respectively(P<0.001). The importance assignments of each entry were in the range of 4.333-4.933,with coefficients of variation in the range of 0.052-0.188. The final scheme consisted of six primary indicators, 18 secondary indicators and 51 tertiary indicators. Conclusions The supportive care program for maintenance hemodialysis patients developed in this study is scientifically and clinically applicable and may provide a theoretical basis for clinical management of events in the hemodialysis population.更多还原