综合医院-护理院-社区-家庭医养结合老年护理服务标准化体系的构建

Construction of a standardized system of combined medical care and elderly nursing service in general hospital-nursing home-community-family

目的制订系统的综合医院-护理院-社区-家庭医养结合老年护理服务标准化体系,旨在为开展不同形式下医养结合老年护理服务提供参考。方法采用德尔菲专家咨询法于2020年1—6月在文献查阅基础上通过课题组会议讨论,分别设计出综合医院、护理院、社区、家庭医养结合老年护理服务标准化体系专家咨询表,选择从事老年护理及管理、老年护理教育、老年医学领域工作的15名专家进行2轮专家咨询。结果2轮专家咨询的问卷有效回收率均为100.00%,专家权威系数为0.875、0.848,专家意见趋于一致。医养结合老年护理服务标准化指标体系分为综合医院4项一级指标、19项二级指标、95项三级指标,护理院4项一级指标、25项二级指标和96项三级指标,社区4项一级指标、16项二级指标和88项三级指标,家庭4项一级指标、16项二级指标和88项三级指标。结论本研究构建的综合医院-护理院-社区-家庭医养结合老年护理服务标准化体系的研究方法较科学、合理、可行,且内容具有针对性,可为今后开展不同形式的医养结合老年护理服务提供参考。

Objective To construct a systematic standardization system of combined medical care and elderly nursing service in general hospital-nursing home-community-family,so as to provide reference for the development of different forms of combined medical care and elderly nursing services.Methods Delphi expert consultation method was used in the study.The expert consultation form of the standardized system of combined medical care and elderly nursing service in general hospital-nursing home-community-family was designed by discussing through the research group meeting on the basis of literature review from January to June 2020.A total of 15 experts who are engaged in geriatric nursing and management,geriatric nursing education,and geriatrics were selected to conduct two rounds of expert consultation.Results The effective recovery rate of the questionnaires in the two rounds of expert consultation was 100.00%,and the expert authority coefficients were 0.875 and 0.848,and the expert opinions tended to be consistent.The standardized system of combined medical care and elderly nursing service was divided into 4 first-level indicators,19 second-level indicators,95 third-level indicators for general hospitals,4 first-level indicators,25 second-level indicators,and 96 third-level indicators for nursing homes,4 first-level indicators,16 second-level indicators and 88 third-level indicators for communities,4 first-level indicators,16 second-level indicators and 88 third-level indicators for families.Conclusions The research method of the standardized system of combined medical care and elderly nursing service in general hospital-nursing home-community-family constructed in this study is scientific,reasonable and feasible,and the content is targeted,which can provide a reference for the development of different forms of combined medical care and elderly nursing services in the future.