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| Construction of a Follow-up Nursing Problem Assessment System for Liver Transplant Patients Based on the Omaha Classification System |
| LUO Shuang, LIU Yisu, TANG Hongying, et al |
| Hunan Provincial People's Hospital (the First Affiliated Hospital of Hunan Normal University), Changsha Hunan 410000 |
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Abstract 【Objective】 To construct a follow-up nursing problem assessment system for liver transplant patients using the Omaha Classification System(OCS), so as to provide evidence-based support for clinical nurses' nursing decision-making.【Methods】 With OCS as the theoretical framework, the indicator system was constructed through literature analysis, qualitative interviews, group brainstorming, and the Delphi method. An expert consultation questionnaire was developed, expert consultation was conducted, and the expert opinions were collected and statistically analyzed.【Results】 A total of two rounds of consultation were conducted in this study, with a questionnaire recovery rate and effective rate of 100%. The rates of experts putting forward opinions were 56.25% and 25.00% respectively. The expert authority coefficients(Cr) in the two rounds were 0.95 and 0.912 respectively. The coordination coefficients of experts for the first, second, and third-level indicators in the two rounds were 0.385, 0.236, 0.244(all P<0.05) and 0.272, 0.289, 0.274(all P<0.05) respectively. After two rounds of expert consultation, the final assessment form had the following number of indicators at each level:the first level(4 items), the second level(21 items), and the third level(45 items).【Conclusion】 The follow-up nursing problem assessment system for liver transplant patients based on OCS is scientific and reliable. It is suitable for assessing the nursing problems of liver transplant patients and provides valuable reference for clinical nursing diagnosis and intervention.
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Received: 09 May 2025
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