A Delphi Method Comfort Status Scale for Patients With Lung Cancer After Thoracoscopic Surgery

J Perianesth Nurs. 2024 Apr 27:S1089-9472(24)00007-8. doi: 10.1016/j.jopan.2024.01.002. Online ahead of print.

Abstract

Purpose: To construct the comfort status scale for patients with lung cancer after thoracoscopic surgery.

Design: Delphi method inquiry to 15 clinical and nursing experts.

Methods: On the basis of the comfort status scale and the subjective experience and objective symptoms of patients with lung cancer after thoracoscopic surgery, the relevant literature was consulted, semistructured interviews and group discussions were conducted, the pool of items of the postoperative comfort status scale for patients with lung cancer was initially formed, and the postoperative comfort status scale for patients with lung cancer was finally established.

Findings: The positive coefficient of experts was 100%, the coefficient of authority was 0.92 and 0.93, and the Kendal's W was 0.257 and 0.298, the degree of coordination of expert opinions was statistically significant (P < .05). Finally, a total of 28 items in four dimensions were formed to assess the postoperative comfort status of patients with lung cancer after thoracoscopic surgery.

Conclusions: The Delphi method-based comfort status scale for patients with lung cancer after thoracoscopic surgery is scientific and reliable, and can provide a quantitative basis for the evaluation of the comfort status of patients after lung cancer thoracoscopic surgery, to further provide individual comfort care measures.

Keywords: Delphi method; comfort status scale; nursing care; thoracoscopic surgery.