老年脑卒中患者跌倒恐惧干预方案的构建

Construction of An Intervention Program for the Fear of Falling in Elderly Stroke Patients

目的构建老年脑卒中患者跌倒恐惧(fear of falling,FoF)干预方案,以降低老年脑卒中患者FoF程度,提高患者活动水平。方法系统检索国内外文献,以理论域的行为改变技术为指导,构建老年脑卒中患者FoF干预方案初稿。通过德尔菲法进行2轮专家函询,征询专家意见并修订,形成方案终稿。结果经过2轮函询后15名专家意见趋于一致,专家权威系数为0.923,肯德尔和谐系数为0.204(P<0.001),条目变异系数为0.000~0.198,最终形成的干预方案涉及到7个理论领域,分为基础内容和巩固提升2个阶段。结论构建的老年脑卒中患者FoF干预方案具有科学性,能为降低老年脑卒中患者FoF提供指导。

Objective To construct an intervention program for the fear of falling(FoF)in elderly stroke patients,and to provide guidance for reducing FoF and enhancing physical activity in patients.Methods Systematic literature was searched at home and abroad,and the first draft of the intervention plan for FoF in elderly stroke patients was constructed under the guidance of behavior change technology from the theoretical domain framework.2 rounds of expert consultation were conducted through the Delphi method,and expert opinions were solicited and the draft revised to form the final plan.Results After 2 rounds of correspondence,the views of 15 experts tended to be consistent;the expert authority coefficient was 0.923,the Kendall harmony coefficient was 0.204(P<0.001),and the coefficient of variation of entries was 0.000-0.198.The final intervention plan involved 7 theoretical domains in 2 stages,namely primary contents and consolidation.Conclusions The intervention program for FoF in elderly stroke patients is scientific and can provide guidance for reducing their FoF.