ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (1): 9-15.doi: 10.3761/j.issn.2096-7446.2026.01.001

• 论著 • 上一篇    下一篇

胰腺癌根治术联合自体小肠移植患者出院后随访清单的构建及应用研究

卢芳燕1(), 吉莉2, 董丽2, 吴静韵2, 杨云1, 汤洒潇2, 王华芬1,*()   

  1. 1.浙江大学医学院附属第一医院护理部 杭州市 310003
    2.浙江大学医学院附属第一医院肝胆胰外科 杭州市 310003
  • 收稿日期:2025-05-05 出版日期:2026-01-10 发布日期:2026-01-06
  • 通讯作者: 王华芬，E-mail：2185015@zju.edu.cn
  • 作者简介:卢芳燕：女，硕士，主任护师，护理部常务副主任，E-mail：2196032@zju.edu.cn

Development and application of a follow-up checklist for postoperative patients of pancreatic cancer undergoing radical resection combined with intestinal autotransplantation

LU Fangyan1(), JI Li2, DONG Li2, WU Jingyun2, YANG Yun1, TANG Saxiao2, WANG Huafen1,*()   

  1. 1. Nursing Department， the First Affiliated Hospital，Zhejiang University School of Medicine， Hangzhou 310003， China
    2. Department of Hepatobiliary and Pancreatic Surgery， the First Affiliated Hospital，Zhejiang University School of Medicine， Hangzhou 310003， China
  • Received:2025-05-05 Online:2026-01-10 Published:2026-01-06
  • Contact: WANG Huafen，E-mail：2185015@zju.edu.cn

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摘要：

目的 制订胰腺癌根治术联合自体小肠移植患者出院后随访清单，为随访工作提供科学的工具支持，及时发现并解决患者出院后可能遇到的问题，确保远期疗效。方法 通过文献回顾拟订随访清单初稿。2024年9月，采用德尔菲法对14名专家进行2轮函询，综合专家意见并进行修订，形成随访清单终稿。2024年11月，采用便利抽样法，选取浙江省某三级甲等医院14例胰腺癌根治术联合自体小肠移植患者作为研究对象，随访护士采用该随访清单对患者进行电话随访，并对清单进行评价。结果 2轮函询问卷的有效回收率分别为93.33%和100%，专家权威系数分别为0.939、0.947，变异系数为0~0.167和0~0.141，肯德尔和谐系数为0.137和0.140（P<0.05）。最终形成的随访清单包含3项一级指标、12项二级指标及27项三级指标。护士和患者均认为该随访清单内容全面，具有较强的专科性和临床实用性。结论 构建的随访清单结构合理，内容详尽，专科性和实用性突出，能够为胰腺癌根治术联合自体小肠移植患者出院后的随访提供科学、规范的工具支持。

关键词: 器官移植, 胰腺肿瘤, 随访, 清单, 德尔菲技术, 护理

Abstract:

Objective To formulate a follow-up checklist for postoperative patients of pancreatic cancer undergoing radical resection combined with intestinal autotransplantation，and provide a scientific tool to support the follow-up work，timely identify and solve problems encountered by patients after discharge，and ensure the long-term efficacy. Methods The first draft of the follow-up checklist was constructed through literature review，and the final draft of the follow-up checklist was formed by conducting 2 rounds of correspondence with 14 experts using the Delphi method in September 2024，screening experts’ opinions and revising and improving the checklist. The convenience sampling method was adopted to select 14 postoperative patients of pancreatic cancer with radical resection combined with intestinal autotransplantation from a tertiary class A hospital in Zhejiang Province in November 2024 as the research subjects. The nurses conducted telephone follow-up to the patients with the postoperative follow-up list and evaluated the follow-up list. Results The effective response rates of 2 rounds of expert consultations were 93.33% and 100%，the authoritative coefficients were 0.939 and 0.947，the variation coefficients of each item ranged from 0 to 0.167 and from 0 to 0.141，and the Kendall harmony coefficient was 0.137 and 0.140（P<0.05）. The final follow-up checklist included 3 primary indicators，12 secondary indicators and 27 tertiary indicators. Both nurses and patients believed that the follow-up checklist was comprehensive with strong professional and clinical practicability. Conclusion The follow-up checklist is reasonable in structure，comprehensive in content，specialized and practical，which can provide a scientific and standardized tool to support post-discharge follow-up of pancreatic cancer patients undergoing radical resection combined with intestinal autotransplantation.

Key words: Organ Transplantation, Pancreatic Neoplasms, Follow Up, Checklist, Delphi Technique, Nursing Care