基于国际功能、残疾和健康分类的脑卒中患者康复护理方案的构建

Construction of rehabilitation nursing program for stroke patients based on international classification of functioning,disability and health

目的基于国际功能、残疾和健康分类(ICF)构建脑卒中患者康复护理方案。方法系统检索国内外相关文献,以ICF功能评价4个维度中17个功能条目为框架,构建基于ICF的脑卒中患者康复护理方案初稿,采用德尔菲法函询专家进一步完善方案。结果共16名专家完成2轮专家函询,第1、2轮函询的专家权威系数分别为0.897、0.897,变异系数分别为0.05~0.27、0.05~0.19,肯德尔和谐系数分别为0.384、0.452(χ^(2)=104.375、122.831,P<0.001)。最终形成的脑卒中患者康复护理方案中,一级指标(功能领域)4个,二级指标(干预内容)17个,三级指标(具体措施)73个。结论基于ICF的脑卒中患者康复护理方案具有科学性和可靠性,或可为临床脑卒中患者的康复护理提供理论支持和实践指导。

Objective To construct a rehabilitation nursing program for stroke patients based on the international classification of functioning,disability and health(ICF).Methods The relevant domestic and foreign literatures were systematically searched,and a draft of the rehabilitation nursing program for stroke patients based on the 17 functional items in the four dimensions of ICF functional evaluation was constructed.The Delphi method was used to consult experts to further improve the program.Results A total of 16 experts completed two rounds of expert consultation.The expert authority coefficients of the first and second rounds of consultation were 0.897 and 0.897,respectively,with coefficient of variations ranging from 0.05 to 0.27 and 0.05 to 0.19,respectively.The Kendall's W coefficients were 0.384 and 0.452(χ^(2)=104.375,122.831,P<0.001),respectively.In the final rehabilitation nursing program for stroke patients,there were four first-level indicators(functional domains),17 second-level indicators(intervention contents),and 73 third-level indicators(specific measures).Conclusion The rehabilitation nursing program for stroke patients based on ICF is scientific and reliable,and may provide theoretical support and practical guidance for the rehabilitation nursing of clinical stroke patients.