长期照护失能等级评估量表研究

Study on disabled grade assessment scale for long-term care

目的探索建立长期照护失能等级评估量表。方法基于文献回顾与长期照护需求的实地调研制订失能等级评估的初始量表,再结合德尔菲专家咨询法对22名专家进行咨询。结果经过两轮专家咨询,一致通过的失能等级评估量表包括:感知觉、日常生活能力、认知能力、情绪行为等4项一级指标,重要性均数(M)在4.64~5.00分之间,均大于或等于4.0分,变异系数(CV)在0.00%~13.86%之间,均小于或等于25%,满分率(Fr)在72.73%~100.00%之间,均大于或等于50%,认可率(Ar)在90.91%~100.00%之间,均大于或等于80%,专家达成一致性意见;22项二级指标,其M在4.27~4.95分之间,均大于或等于4.0分;CV在4.20%~25.62%之间,Fr在63.64%~95.46%之间,Ar在77.27%~100.00%之间,新增触觉、坐立位起身两项,将床椅转移、近期记忆、程序记忆分别修改为坐凳椅、瞬时记忆及短期记忆,专家达成一致性意见。结论补充更改的长期照护失能等级评估量表具有较高的权威性与专家一致性,可为长期照护保险制度的失能等级评估工作提供理论参考。

Objective To explore the establishment of disabled grade assessment scale for long-term care insurance （LTC）. Methods Based on the results of literature review and long-term care needs survey,an initial scale of disabled grade assessment was formulated, then the Delphi method was combined to conduct the consultation on 22 specialists. Results After two rounds of expert consultation,the unanimous disabled grade assessment scale included four first-class indexes of sensation perception,daily activity ability, recognition ability and emotion behavior, the importance mean （M） was 4.64--5.00 points, which ≥4. 0 points, the variable coefficient （CV） was 0.00% --13. 86% ,which ≤25% ,the full mark rate （Fr） was 72.73%--100.00% ;which ≥50% ,recognition rate （At） was 90. 91% - 100. 00 % , which ≥80 %, which indicated that the experts reached a consensus opinion. Among the 22 second-class indexes,the Mwas 4.27--4, 95 points, which ≥4.0 points,CV was 4.20% - 25.62% ,Fr was 63.64% --95.46% ,At was 77.27 % --100. 00 %. The two items of touch sense and getting up from sitting position were newly added, the transferring of table and chair, recent memory and procedural memory were modified into sitting down on the bench and chair, immediate memory and short term memory, the experts reached the consistent opinion. Conclusion The replenished and modified disabled grade assessment scale for LTC has higher authority and expert consistency, which can provide a theoretical reference for the disabled grade assessment work of LTC.