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
李卫卫 1孙国珍 2沈建英 3卢倩 3何川 3陆美艳3
作者信息
- 1. 南京医科大学护理学院,江苏南京,211166;南京医科大学附属江苏盛泽医院康复医学科,江苏苏州,215228
- 2. 南京医科大学护理学院,江苏南京,211166
- 3. 南京医科大学附属江苏盛泽医院康复医学科,江苏苏州,215228
- 折叠
摘要
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(x2=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.
Abstract
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 e-valuation was constructed.The Delphi method was used to consult experts to further improve the pro-gram.Results A total of 16 experts completed two rounds of expert consultation.The expert authori-ty 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(x2=104.375,122.831,P＜0.001),respectively.In the final rehabilitation nursing program for stroke patients,there were four first-level indicators(functional do-mains),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 sci-entific and reliable,and may provide theoretical support and practical guidance for the rehabilitation nursing of clinical stroke patients.
关键词
脑卒中/国际功能、残疾和健康分类/康复护理/德尔菲法Key words
stroke/international classification of functioning,disability and health/rehabili-tation nursing/Delphi method引用本文复制引用
基金项目
江苏省苏州市医学重点扶持学科建设项目(SZFCXK202107)
出版年
2024
国家科技期刊平台
NSTL
万方数据