维持性血液透析患者衰弱风险评估指标体系的构建

Construction of the frailty risk evaluation index system for patients with maintenance hemodialysis

目的构建维持性血液透析患者衰弱风险评估指标体系,科学评估维持性血液透析患者衰弱风险状况。方法以"生物—心理—社会"医学模式为理论框架,采用半结构式访谈法、德尔菲专家咨询法确立和筛选指标,利用层次分析法确定指标权重,构建维持性血液透析患者衰弱风险评估指标体系。结果2轮专家咨询问卷的有效回收率分别为100.00%(22/22)和95.45%(21/22),专家权威系数分别为0.85、0.84,专家意见重要性肯德尔和谐系数分别为0.149、0.201,专家意见可行性肯德尔和谐系数分别为0.134、0.175。最终确立维持性血液透析患者衰弱风险评估体系,包括一级指标3个、二级指标8个、三级指标36个。结论构建的维持性血液透析患者衰弱风险评估指标体系具有较高的科学性和良好的实用性,内容全面,能较好地反映专科特色,可对维持性血液透析患者衰弱风险评估提供依据。

ObjectiveTo establish an index system for frailty risk assessment of maintenance hemodialysis patients,and scientifically evaluate frailty risk status of maintenance hemodialysis patients.MethodsWith the biopsychosocial medical model as the theoretical framework,semi-structured interview method and Delphi expert consultation method were used to establish and screen indicators and analytic hierarchy process was used to determine the weight of indicators,and an indicator system for frailty risk assessment of patients with maintenance hemodialysis was constructed.ResultsThe effective recovery rates of the two rounds of expert consultation questionnaires were respectively 100.00%(22/22)and 95.45%(21/22),the expert authority coefficients were respectively 0.85 and 0.84,the Kendall's harmony coefficients of the importance of expert opinions were respectively 0.149 and 0.201,and the Kendall's harmony coefficients of the feasibility of expert opinions were respectively 0.134 and 0.175.Finally,the frailty risk evaluation system for maintenance hemodialysis patients was established,including 3 primary indexes,8 secondary indexes and 36 tertiary indexes.ConclusionsThe established frailty risk evaluation index system for patients with maintenance hemodialysis is scientific and practical and comprehensive in content,which can better reflect the specialty characteristics and provide a basis for frailty risk assessment for maintenance hemodialysis patients.