痴呆老年人团体活动实施方案的构建

Construction of group activity program for senile dementia

目的构建科学、实用的痴呆老年人团体活动方案。方法系统检索加拿大安大略注册护士协会、英国国家卫生与临床优化研究所指南库、澳大利亚JBI循证卫生保健数据库、Cochrane Library数据库、PubMed、Embase、中国知网、万方数据库中建库至2022年1月1日期间关于痴呆老年人团体活动的文献。由2名研究者独立对纳入文献的方法学质量进行评价。根据检索的文献初步拟定团体活动方案初稿。选取医疗、护理、康复治疗、社区照护等领域专家进行2轮德尔菲专家函询,应用专家权威系数、协调系数进行评价,最终建立痴呆老年人团体活动方案内容指标体系。结果2轮专家函询问卷的回收率分别为94.44%、94.74%,专家权威系数分别为0.79、0.82,重要性协调系数分别为0.149、0.184,可行性协调系数分别为0.130、0.366,P值均<0.01。最终形成的痴呆老年人团体活动实施方案包括4项一级指标,15项二级指标,38项三级指标。结论痴呆老年人团体活动方案制订方法科学、可行性强,可在不同层级具备资质及专业能力的机构内推广实施。

Objective To construct a scientific and practical group activity program for senile dementia.Methods A systematic search was conducted to identify the literature on group activities of senile dementia in the Registered Nurses Association of Ontario,guidelines from National Institute for Health and Care Excellence,JBI EBP database,Cochrane Library,PubMed,Embase,China National Knowledge Infrastructure,WanFang Data until January 1,2022.Two researchers independently evaluated the methodological quality of the included literature.According to the retrieved literature,the first draft of group activity program was made.Two rounds of Delphi expert correspondence were conducted with experts from medical,nursing,rehabilitation and community care fields,and evaluated by expert authority coefficient and coordination coefficient,finally,the content index system of group activity program for senile dementia was established.Results The recovery rates of the two rounds of expert consultation questionnaires were 94.44%and 94.74%,the degree of authority were 0.79 and 0.82,the coordination coefficients of importance were 0.149 and 0.184,and the coordination coefficients of feasibility were 0.130 and 0.366,all P<0.01.Finally,the group activities program for senile dementia consists of 4 first-class indicators,15 second-class indicators and 38 third-class indicators.Conclusion The group activity program for senile dementia is scientific and feasible,and can be promoted and implemented within institutions with qualification and professional capabilitie at different levels.