应用德尔菲法构建老年人健康核心信息和知识要点指标体系

Application of the Delphi method in developing the core information of health and evaluation index system for the elderly Chinese people

目的制定科学的、适合我国国情的、能推广应用的老年人健康核心信息和知识要点指标体系。方法采取广泛查阅文献和专家专题讨论的方式，制定指标体系框架；采取德尔菲专家咨询法构建指标体系。结果58名各领域专家参与德尔菲专家咨询，两轮专家咨询的专家积极系数分别为96．88％和100．00％，专家权威系数集中为0．80～O．96，变异系数为6．20～12．13。通过两轮德尔菲法专家调查，确定老年人健康核心信息和知识要点指标体系由积极认识老龄化和衰老、培养良好生活方式、预防老年人常见病、预防常见失能问题、老年人精神心理问题、科学就医、紧急情况处理和倡导社会关注8类～级指标，老龄化趋势加剧、适度运动、保证良好睡眠，高血压、糖尿病、心脑血管疾病、老年人抑郁症、合理用药和健全各项保障制度等31项二级指标构成。结论老年人健康核心信息和知识要点指标体系结构稳定，专家意见一致，并涵盖影响老年人健康的主要因素，具有较强的科学件、适用性和可行性。

Objective To develop a scientific system of core information of health and evaluation index for the elderly Chinese people, which is suitable for the situation of our country. Methods The framework was established by extensive literature review and topic discussions. The index system was constructed with the Delphi method. Results 58 experts in different fields of health were selected in the two rounds of Delphi consultation research. The effective response rates in the two rounds were 96.88%0 and 100~ respectively. The average value of the authoritative coefficient was between 0.80 and 0. 96. And coefficients of variation were between 6.20 and 12. 13. Based on the Delphi consultation research, the core information of health and evaluation index system for the elderly Chinese people were composed of 8 primary indicators closely associated with the positive awareness of aging and senescence and 31 other indicators. Conclusions The architecture of the core information of health and evaluation index system for the elderly Chinese people is stable, and the consultant experts tend to reach a consensus. The evaluation index system contains the most influential factors for the elderly Chinese people, and has the affirmative scientificity, applicability and feasibility.