养老机构失智症服务与管理标准的构建

Development of standards of dementia service and management in elder-care institutions

目的制定系统的养老机构失智症服务与管理标准,为养老机构失智症老年人的服务与管理工作的顺利开展提供参考。方法在文献研究、半结构式访谈、问卷调查的基础上拟定标准框架、指标体系;采用德尔菲法函询15名专家,确定标准审评稿;再邀请8名专家召开共识会议,形成终稿。结果2轮专家函询问卷的有效回收率分别为93.8%和100%,专家权威系数均为0.89;2轮函询的总体重要性肯德尔协调系数分别为0.184和0.203,总体实践性协调系数分别为0.204和0.216(均P<0.01)。通过专家共识会议最终确定养老机构失智症服务与管理标准终稿,一级指标3项,二级指标11项,三级指标45项,四级指标55项。结论本研究构建的养老机构失智症服务与管理标准,研究方法较科学、可靠,可行性高,可为失智症相关工作的开展提供借鉴。

Objective To develop a systematic standards of dementia service and management for elder-care institutions,and to advance the service and management for the elderly with dementia in the elder-care institutions.Methods Initial indicators were formulated based on literature research,semi-structured interview and questionnaire survey,then 15 experts were consulted by employing the Delphi technique.At last,a consensus was achieved by 8 experts after a face-to-face meeting.Results The returned rate of the questionnaires in each round of Delphi consultation was 93.8%and 100%.The coefficient of authority of experts was 0.89 in both rounds.The Kendall′s coordination coefficient of the importance of the standards was 0.184 and 0.203 in each round respectively,and that of the practicality of the standards was 0.204 and 0.216 respectively(P<0.01 for all).Through expert consensus meeting,the final version of the standards included 3 first-level indicators,11 second-level indicators,45 third-level indicators,and 55 fourth-level indicators.Conclusion By employing scientific and reliable research methods,standards for dementia service and management in elder-care institutions is practical,which can provide reference for advancing dementia care.