关键词: 腹膜透析, 照护, 德尔菲法, 最佳证据

Abstract: Objective To construct a caring management program for peritoneal dialysis (PD) patients, and to provide theoretical reference for medical staff to conduct long-term caring management for PD patients.  Methods The caring management program for PD patients was first drafted based on the systematic retrieval of domestic and foreign evidences and guided by the best evidences of the management for PD patients. Thirty-four experts were then consulted by Delphi method to obtain their advices and clinical experiences. The caring management program was finally constructed between September to October 2022.  Results  In the two rounds of consultation by mails, the effective response rates were 89.47% and 97.06%, and the authority coefficients of experts were 0.936 and 0.942. In the second round of consultation by mails, the coordination coefficients of experts to the first and second levels of indicators were 0.248 and 0.145, respectively (P＜0.001). The caring management program for PD patients consisted of 7 first level indicators and 48 second level indicators.  Conclusion To further improve the effectiveness of treatment at home and the quality of life of PD patients, we have constructed a care management program for PD patients using the Delphi method. This program can serve as a reference of clinical guidance for medical staff. However, the practical value and clinical benefits of the program need to be further verified.

Key words: Peritoneal dialysis, Care, Delphi method, Best evidence