Construction of individualised care programmes for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method: a cross-sectional study in China
Abstract Background At present, clinical nutritional care for patients with pancreatic cancer focuses more on the observation of the effect of enteral parenteral nutrition, and there is a lack of personalised care plans for weight-loss control. We used the Delphi method to construct a set of persona...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Journal of Health, Population and Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41043-024-00525-3 |
| _version_ | 1797274219565809664 |
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| author | Leying Chen Zhongyan Huang Qiuju Tian Qinghua Zha Shiyu Zhang Zhe Chen Ziyun Dong Yuqing Zhou Ming Zhang Xiaoyan Wei |
| author_facet | Leying Chen Zhongyan Huang Qiuju Tian Qinghua Zha Shiyu Zhang Zhe Chen Ziyun Dong Yuqing Zhou Ming Zhang Xiaoyan Wei |
| author_sort | Leying Chen |
| collection | DOAJ |
| description | Abstract Background At present, clinical nutritional care for patients with pancreatic cancer focuses more on the observation of the effect of enteral parenteral nutrition, and there is a lack of personalised care plans for weight-loss control. We used the Delphi method to construct a set of personalised nursing programmes to effectively control the rate of postoperative weight loss in patients with pancreatic cancer. Methods This study was a cross-sectional investigation. Through literature analysis, literature review and data review, a personalised nursing plan for the postoperative weight-loss control in patients with pancreatic cancer was preliminarily developed. From October to December 2022, the Delphi method was adopted to conduct two questionnaires for 32 experts working in fields related to pancreatic diseases in Grade-A tertiary hospitals from four different departments. After statistical processing, the personalised nursing plan was determined according to the perceived level of importance, coefficient of variation, full score rate and recognition rate of the indicators. Results The recovery rates of the two rounds of consultation were 93.75% and 100%, respectively, and the overall authority coefficient of the experts was 0.918, which represented ‘authoritative’. In terms of importance, the coefficient of variation was 0–0.137; in terms of feasibility, the coefficient of variation ranged from 0.09 to 0.194. Finally, a scheme consisting of 36 entries in 8 dimensions was built. This programme is comprehensive in content, meets the nutritional diagnosis and treatment needs of patients in the stage of postoperative rehabilitation, provides relatively comprehensive nutritional assessment and support and has a robust system and feasibility. Conclusions The individualised nursing plan for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method is highly scientific and reliable and has positive significance. |
| first_indexed | 2024-03-07T14:55:14Z |
| format | Article |
| id | doaj.art-2ae8ec90a7664767b7a2855f5cca979f |
| institution | Directory Open Access Journal |
| issn | 2072-1315 |
| language | English |
| last_indexed | 2024-03-07T14:55:14Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Health, Population and Nutrition |
| spelling | doaj.art-2ae8ec90a7664767b7a2855f5cca979f2024-03-05T19:27:51ZengBMCJournal of Health, Population and Nutrition2072-13152024-03-0143111110.1186/s41043-024-00525-3Construction of individualised care programmes for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method: a cross-sectional study in ChinaLeying Chen0Zhongyan Huang1Qiuju Tian2Qinghua Zha3Shiyu Zhang4Zhe Chen5Ziyun Dong6Yuqing Zhou7Ming Zhang8Xiaoyan Wei9Department of Pancreatic Surgery, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityDepartment of Pancreatic Surgery, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityDepartment of Nurse Management, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityDepartment of Nurse Management, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityDepartment of Nurse Management, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityDepartment of Pancreatic Surgery, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityDepartment of Pancreatic Surgery, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityDepartment of Pancreatic Surgery, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityDepartment of Pancreatic Surgery, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityDepartment of Pancreatic Surgery, Shanghai Ruijin Hospital Affiliated of Jiaotong UniversityAbstract Background At present, clinical nutritional care for patients with pancreatic cancer focuses more on the observation of the effect of enteral parenteral nutrition, and there is a lack of personalised care plans for weight-loss control. We used the Delphi method to construct a set of personalised nursing programmes to effectively control the rate of postoperative weight loss in patients with pancreatic cancer. Methods This study was a cross-sectional investigation. Through literature analysis, literature review and data review, a personalised nursing plan for the postoperative weight-loss control in patients with pancreatic cancer was preliminarily developed. From October to December 2022, the Delphi method was adopted to conduct two questionnaires for 32 experts working in fields related to pancreatic diseases in Grade-A tertiary hospitals from four different departments. After statistical processing, the personalised nursing plan was determined according to the perceived level of importance, coefficient of variation, full score rate and recognition rate of the indicators. Results The recovery rates of the two rounds of consultation were 93.75% and 100%, respectively, and the overall authority coefficient of the experts was 0.918, which represented ‘authoritative’. In terms of importance, the coefficient of variation was 0–0.137; in terms of feasibility, the coefficient of variation ranged from 0.09 to 0.194. Finally, a scheme consisting of 36 entries in 8 dimensions was built. This programme is comprehensive in content, meets the nutritional diagnosis and treatment needs of patients in the stage of postoperative rehabilitation, provides relatively comprehensive nutritional assessment and support and has a robust system and feasibility. Conclusions The individualised nursing plan for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method is highly scientific and reliable and has positive significance.https://doi.org/10.1186/s41043-024-00525-3Pancreatic cancerWeight lossPersonalisationScheme constructionDelphi method |
| spellingShingle | Leying Chen Zhongyan Huang Qiuju Tian Qinghua Zha Shiyu Zhang Zhe Chen Ziyun Dong Yuqing Zhou Ming Zhang Xiaoyan Wei Construction of individualised care programmes for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method: a cross-sectional study in China Journal of Health, Population and Nutrition Pancreatic cancer Weight loss Personalisation Scheme construction Delphi method |
| title | Construction of individualised care programmes for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method: a cross-sectional study in China |
| title_full | Construction of individualised care programmes for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method: a cross-sectional study in China |
| title_fullStr | Construction of individualised care programmes for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method: a cross-sectional study in China |
| title_full_unstemmed | Construction of individualised care programmes for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method: a cross-sectional study in China |
| title_short | Construction of individualised care programmes for patients with pancreatic cancer with postoperative weight-loss control based on the Delphi method: a cross-sectional study in China |
| title_sort | construction of individualised care programmes for patients with pancreatic cancer with postoperative weight loss control based on the delphi method a cross sectional study in china |
| topic | Pancreatic cancer Weight loss Personalisation Scheme construction Delphi method |
| url | https://doi.org/10.1186/s41043-024-00525-3 |
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