Construction of risk assessment index system for long-term detention of inpatients in psychiatric hospital
Objective:To establish an operational risk evaluation index system for long-term stay of inpa-tients in psychiatric hospitals.Method:Based on literature research,Delphi method and AHP analytic hierar-chy process,two rounds of expert correspondence were carried out to determine the evaluation index system and the weights of indicators at all levels,and a clinical evaluation form was formed based on this,and Pearson corre-lation analysis was used for validity test.Results:In the two rounds of correspondence,the mean values of ex-pert judgment coefficient,familiarity coefficient and authority coefficient were 0.8490,0.8800 and 0.8645,re-spectively,and the coordination coefficient(W)of expert opinion was 0.429 and 0.286,respectively,and the difference was statistically significant(P＜0.05).The AHP analytic hierarchy process was used to calculate the index weights,and the consistency test(CR＜0.1)was used to obtain an evaluation system including 3 first-level indicators(basic demographic characteristics,mental illness status,and social support status),24 second-level indicators,and 76 third-level indicators,and the weights of each first-level index were 0.2232,0.183,and 0.5937,respectively.A clinical evaluation form was formed,and the number of days of hospitalization in the sample(n=88)was significantly correlated with the risk score of long-term stay(r=0.695,P＜0.01).Conclusion:Based on literature research,Delphi method and AHP analytic hierarchy process,the risk factors of long-term stay of inpatients in psychiatric hospitals can be screened and determined,and the resulting evaluation form has good validity and operability,which can provide a basis for psychiatric departments to carry out clinical pathways and optimize clinical management services.
psychiatric hospitallong-term hospitalizationdetention riskevaluation index system
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NSTL
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