Zhongguo quanke yixue (Jul 2024)
Construction of a Comprehensive Health Management Program for Elderly Postoperative Colorectal Cancer Patients
Abstract
Background The elderly colorectal cancer population has a high prevalence and complex condition, and postoperative rehabilitation faces various challenges. It is of great significance to construct a scientific, practical and comprehensive postoperative health management program for colorectal cancer in the elderly to improve patients' health. Objective To construct a comprehensive health management program for elderly postoperative colorectal cancer patients, and provide reference for postoperative rehabilitation of elderly colorectal cancer patients. Methods Based on literature review and qualitative interviews, the management program for elderly postoperative colorectal cancer patients was initially formulated. The Delphi method was used to conduct 2 rounds of correspondence with 16 experts from tertiary hospitals in Nanjing and Shanghai. The motivation degree of the experts was evaluated based on questionnaire recovery rate and text revision rate. Furthermore, the authority coefficient was used to evaluate the degree of expert authority, while the coefficient of variation and Kendall's W coefficient were used to evaluate the coordination of expert opinions. Based on opinions and discussion of experts, the ultimate formation of the health management program for elderly postoperative colorectal cancer patients was constructed after adjusting the content of entries. Results The recovery rates of the two rounds of expert correspondence were 94.12% and 100.00%, respectively. The text revision rates were 56.25%, and the authority coefficient was 0.91. The mean importance scores of items in the two rounds of the consultation ranged from 3.81 to 5.00 and 4.13 to 5.00, with the coefficients of variation from 0 to 0.24 and 0 to 0.20. The Kendall's W coefficients of expert opinions were 0.211 and 0.222, respectively (P<0.001), with an improvement observed in the second round compared to the first round. After two rounds of expert correspondence and the expert group discussion, the final management program for elderly postoperative colorectal cancer patients was determined, including 9 primary items (team building, psychological support, physical activity, stoma care, nutritional intervention, TCM rehabilitation techniques, peer education, treatment and follow-up, self-management) and 39 secondary items. Conclusion The health management program constructed in this study for elderly postoperative colorectal cancer patients is scientific, reliable, applicable and practical, and can provide guidance for rehabilitation of elderly patients after colorectal cancer surgery.
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