摘要
[目的]构建基于生理‐心理‐社会医学模式的居家脑卒中病人护理分级评估指标体系,为居家脑卒中病人的护理分级提供依据。[方法]基于文献分析、质性访谈、专家小组会议初步确定居家脑卒中病人护理分级评估指标体系;于2018年6月—9月邀请19名脑卒中护理领域相关专家进行3轮专家咨询,采用层次分析法确定各指标权重。[结果]3轮咨询专家的积极系数分别为85.00%、89.47%、100.00%;专家权威系数分别为0.878,0.879,0.879;第3轮专家意见协调系数分别为0.393,0.366,0.388;最终形成包括病情严重程度、日常生活活动能力、精神心理状态、社会支持与环境资源利用能力4个一级指标、30个二级指标和120条评价标准的居家脑卒中病人护理分级评估指标体系。[结论]构建的居家脑卒中病人护理分级评估指标体系具有较强的科学性、可靠性,可为居家脑卒中病人的护理分级提供理论依据。
Objective:To construct the nursing grading evaluation indicator system for stroke patients at home based on physiologicalpsychological-social medicine model,so as to provide evaluation basis for nursing grading of stroke patients at home.Methods:Through literature analysis,qualitative interview and expert group meeting,the preliminary draft of the nursing grading evaluation indicator system was prepared.A total of 19 experts related to stroke care were invited to complete three rounds of expert consultation from June,2018 to September,2018,and the weight of each indicator was determined by the analytic hierarchy process.Results:The positive coefficients of the three rounds of expert consultation were 85.00%,89.47%and 100.00%,respectively.The expert authority coefficients were 0.878,0.879 and 0.879,respectively.The degree of coordination of expert opinions were 0.393,0.366,0.388,respectively.The final nursing grading evaluation indicator system included four first-level indicators,which were severity of illness,ability of daily life activities,mental state,social support and environmental resource utilization,30 second-level indicators and 120 evaluation criteria.Conclusions:The nursing grading evaluation indictor system of stroke patients at home established in this study was scientific and reliable,which can provide theoretical basis for the nursing grading of patients with stroke at home.
作者
丁春戈
张春慧
张振香
梅永霞
林蓓蕾
徐晖
DING Chunge;ZHANG Chunhui;ZHANG Zhenxiang;MEI Yongxia;LIN Beilei;XU Hui(The Nursing and Health College,Zhengzhou University,Henan 450001 China)
出处
《护理研究》
北大核心
2020年第5期801-805,共5页
Chinese Nursing Research
基金
河南省卫生和计划生育委员会医学科技攻关(省部共建项目),编号:SBGJ2018052
河南省教育厅人文社会科学研究项目,编号:2018-ZZJH-547
河南省医学教育研究课题,编号:Wjlx2018012
河南省科技厅攻关计划项目,编号:182102310135
关键词
脑卒中
分级护理
居家护理
评估
德尔菲法
日常生活活动能力
社会支持
stroke
grading nursing
home care
assessment
Delphi method
ability of daily life activities
social support