关键词: 肺移植；居家护理；奥马哈问题分类系统；清单；随访；延续性护理

Abstract: Objective: To develop a follow-up checklist of home care for lung transplant recipients, aiming to provide scientific and effective follow-up tools for continuous care services for patients. Methods: Based on the literature review of the Omaha problem classification system, lung transplant recipients and lung transplant nurses were interviewed in a semi-structured way, and two rounds of expert consultation by correspondence were conducted to form the first draft of the nursing follow-up checklist. Using a convenience sampling method, ten nurses and twenty lung transplant recipients from a tertiary grade A hospital in Beijing were selected as the research subjects from January to February 2024 to preliminarily test the feasibility of the home care follow-up checklist for lung transplant recipients and form the final draft of the follow-up checklist. Results: The experts' positivity coefficients of the two rounds were 93.33% and 100.00%, respectively, with the expert authority coefficient being 0.92 and the Kendall harmony coefficient being 0.234 and 0.156, respectively (P<0.001). The final home care follow-up checklist for lung transplant recipients included four primary items: environmental domain, psychosocial domain, physical domain and health-related behavior, 23 secondary items and 62 tertiary items. Lung transplant recipients considered that the home care follow-up checklist was comprehensive and the follow-up nurses were highly satisfied. Conclusion: The follow-up checklist of home care for lung transplant recipients is comprehensive, scientific, reliable and practical. It can provide scientific and standardized support for nurses to follow up with patients.

Key words: lung transplantation; home care; Omaha problem classification system; checklist; follow up; continuous nursing