首页|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

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

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

strokeinternational classification of functioning,disability and healthrehabili-tation nursingDelphi method

李卫卫、孙国珍、沈建英、卢倩、何川、陆美艳

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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

脑卒中 国际功能、残疾和健康分类 康复护理 德尔菲法

江苏省苏州市医学重点扶持学科建设项目

SZFCXK202107

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(8)