住院老年脑卒中患者护理评估体系的构建

The establishment of nursing assessment system for hospitalized elderly stroke patients

目的构建符合我国国情、适合老年人特点的住院老年脑卒中患者护理评估体系,以评价老年脑卒中患者的健康问题。方法在文献研究的基础上,构建住院老年脑卒中患者护理评估体系草案。采用德尔菲专家咨询法,选取24名专家,进行专家咨询。按照2轮专家咨询意见,结合临床经验,对条目进行修改。结果 2轮咨询问卷有效回收率均为100%,第2轮咨询专家的权威系数为0.825,一、二、三级指标专家意见协调系数分别为0.534、0.295、0.320(P<0.001)。最终形成的住院老年脑卒中患者护理评估体系包括4项一级指标(一般医学评估、躯体功能状况、社会参与、心理健康状况),14项二级指标,40项三级指标。结论本研究构建的住院老年脑卒中患者护理评估体系科学、可靠,能为临床护士制订护理策略提供依据。

Objective To establish an hospitalized elderly stroke patients nursing assessment system to assess the health problems in this population.Methods Delphi method was used to organize the recommendations from 24 experts that specialized in geriatric care,neurological care,health management,nursing management and critical care.In accordance with two rounds of expert advices and clinical experience,some items were revised.Results The response rates of two rounds,both were 100%.The authority coefficient of experts in the second round was 0.825,and the coordination coefficients of three level indicators were 0.534,0.295,0.320,respectively(P<0.001).The final design concluded with 4 first-level indicators,including general medical assessment,physical function status,social participation,mental health status,14 second-level indicators and 40 third-level indicators.Conclusion Delphi expert consultation method demonstrated that the scale is scientific and reliable and can provide a basis for clinical nurses to make nursing strategies.However,this hospitalized elderly stroke patients nursing assessment system needs further verification and improvement.