摘要
目的 基于德尔菲法探索中国老年人的重要健康问题.方法 通过文献检索和专家讨论,制定老年人健康问题的条目清单.采用德尔菲法,于2022年8-12月邀请25名来自不同领域的专家,通过邮件发放咨询问卷,要求专家选择出最重要的健康问题并逐个对健康问题的重要性、可控制性及熟悉程度进行评分.分析专家的积极程度、选择率、重要性得分、可控制性得分及综合指数,最终确定中国老年人的重要健康问题.结果 2轮专家咨询的专家积极系数分别为96.00%(24/25)和79.17%(19/24).综合考虑专家选择率、重要性、可控制性及综合指数,最终确定活动能力受损、跌倒、认知障碍、抑郁症和脑卒中为我国老年人的重要健康问题.结论 通过2轮德尔菲法,共识别出我国老年人的5个重要健康问题,对我国建立老年人健康问题优先事项、制定相关卫生政策具有一定的指导意义.
Abstract
Objective To explore important health problems for Chinese older adults based on the Delphi method.Methods A list of important health problems for Chinese older adults was identified through literature search and expert discussion.Using the Delphi method,25 experts from various disci-plines were invited from August to December 2022.Consultation questionnaires were distributed by email,and expert were asked to select the most important health problems,and assess the importance,controlla-bility,familiarity for each health problems.Active coefficient,selection rate,importance score,controlla-bility score and composite index were analyzed to identify the important health problems for Chinese older adults.Results The active coefficients in two rounds expert consultation were 96.00%(24/25)and 79.17%(19/24),respectively.Considering the expert selection rate,importance,controllability and composite index,five important health problems were identified,including disability of activities of daily life,falls,cognitive impairment,depression,and stroke.Conclusions Through two rounds of Delphi consultation,five important health problems for Chinese older adults were identified,which have certain guiding significance for establishing priorities for health problems of the elderly and formulating relevant health policies in China.
基金项目
慢性病群医学基地建设项目(WH10022022010)
国家自然科学基金(82230111)
国家自然科学基金(82025030)
国家自然科学基金(82222063)