老年住院患者睡眠管理方案的构建研究

A study on the construction of a sleep management program for elderly hospitalized patients

目的构建老年住院患者睡眠管理方案,为评估和改善老年住院患者的睡眠质量提供参考。方法在文献研究和召开专家小组会议的基础上,于2022年2月—4月采用德尔菲法对10名专家进行2轮函询,征询专家意见,并对条目进行反复修改,最终确定老年住院患者睡眠管理方案。结果10名专家均经过2轮函询,问卷总回收率均为100%,专家熟悉程度依次为0.796、0.760,权威系数分别为0.893、0.845,一级、二级和三级指标的肯德尔和谐系数分别为0.286、0.359和0.320,均具有统计学意义(P<0.05);最终确定并构建了包含4项一级指标、13项二级指标、49项三级指标的老年住院患者睡眠管理方案。结论本研究形成的老年住院患者睡眠管理方案科学可靠,可为临床工作者提高老年住院患者的睡眠质量提供借鉴。

Objective To construct a sleep management program for elderly inpatients,and to provide a reference for assessing and improving the sleep quality of elderly inpatients.Methods On the basis of literature research and an expert panel meeting,10 experts were consulted in 2 rounds of correspondence using the Delphi method in February-April 2022,and their opinions were solicited and the entries were repeatedly revised to finalize the sleep management program for elderly hospitalized patients.Results All 10 experts were questioned in 2 rounds of correspondence,the total recovery rate of the questionnaire was 100%,the experts′familiarity was 0.796 and 0.760 in order,the authority coefficients were 0.893 and 0.845,and the Kendall harmonization coefficients of the first-level,second-level,and third-level indexes were 0.286,0.359,and 0.320,which were statistically significant(P<0.05);the program for sleep management of the elderly patients was finally determined and constructed a sleep management program for elderly inpatients containing 4 primary indicators,13 secondary indicators,and 49 tertiary indicators.Conclusion The sleep management program for elderly hospitalized patients developed in this study is scientific and reliable,and can provide reference for clinical workers to improve the sleep quality of elderly hospitalized patients.