膀胱癌根治術(shù)后目標(biāo)導(dǎo)向性早期活動方案的構(gòu)建

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Construction of goal?directed early mobilization program after radical cystectomy

HUANG Jingwen， ZHANG Fang， WU Weixia， HE Zongbin， SHEN Haiyan

Zhujiang Hospital， Southern Medical University， Guangdong 510282 China

Corresponding Author  SHEN Haiyan， E?mail： shenhy302@163.com

Abstract  objective：To construct a goal?directed early mobilization program for radical cystectomy of bladder cancer.Methods：By establishing a research team，reviewing literatures，and retrospectively analyzing cases，we initially formed a goal?directed early mobilization program for radical cystectomy of bladder cancer.Then modified Delphi method was used to consult in 18 professors to further revise and improve the program.Results：In 2 rounds of professor consultation，experts' response rates were 85.71% and 100.00%，respectively，and the expert authority was 0.95，and Kendall's harmony coefficients were 0.180 and 0.162 （both P<0.001）.Finally，a goal?directed early mobilization program with 24 items for radical cystectomy of bladder cancer was formed，including preoperative education，pre?activity assessment，inactivity indications，postoperative daily activity goals，activity monitoring and dynamic assessment.Conclusion：The constructed goal?directed early mobilization program for radical cystectomy of bladder cancer had certain scientific， reliability and practicality

Keywords  bladder cancer； radical cystectomy； early mobilization； goal orientation； postoperative care； Delphi method

摘要  目的：構(gòu)建膀胱癌根治術(shù)后目標(biāo)導(dǎo)向性早期活動方案。（剩余15686字）