基于证据的脑卒中患者肢体功能康复健康科普作品研制

Development of health science popularization works for rehabilitation of limb function in stroke patients

目的研制基于证据的脑卒中肢体功能康复健康科普作品。方法以国际指南协作网的患者指南制订手册和患者健康教育材料评估工具为指导,采用半结构式访谈明确健康科普主题,将该主题与相关循证证据进行匹配,对每个主题的相关证据推荐条目进行细化,并转化为患者易懂的语言及其他形式,并由5名代表(医生、护士、患者、循证方法学专家和科普编辑)对科普作品质量进行外部评审。结果脑卒中患者肢体功能康复健康科普作品包括良肢位摆放、体位转移训练、站立训练和穴位按摩4个主题、17个细化主题,最终外部评审满分率为94.4%~100%,变异系数为0~0.106。结论脑卒中肢体功能康复健康科普作品的研制方法科学,得到了医护人员及患者的认可,为其他健康科普作品的研制提供了参考。

Objective To develop evidence-based health science popularization works for limb function rehabilitation of patients with stroke.Methods In this study,guided by the Guideline International Network(GIN)Patient guideline formulation manual and Patient Education Materials Assessment Tool(PEMAT),we conducted semi-structured interviews to clarify the health science themes.These themes were matched with relevant evidence-based evidence,and the relevant evidence recommendation items for each theme were refined.It is translated into language and other forms that patients can understand easily.Five representatives(doctor,nurse,patient,evidence-based methodology expert and science popularization editor)conducted an external review of the quality of these science popularization works.Results The science popularization works of limb function rehabilitation and health of stroke patients included 4 themes of functional limb position,posture transfer,standing training and acupoint massage,and 17 detailed items.The final external review rate was 94.4%~100%,and the coefficient of variation was 0~0.106.Conclusion The method of developing science popularization works on rehabilitation of stroke limb function is scientific and has been recognized by medical staff and patients.It can provide a methodological reference for the development of other science popularization works.