Construction of a Post-Discharge Plan for Stroke Patients
Objective To construct a discharge plan for stroke patients,aiming to provide a reference for improving the post-discharge nursing quality of these patients.Methods From February to July 2023,a discharge plan for stroke patients was drafted based on literature research;2 rounds of consultation were conducted by the Delphi method with 12 experts in nursing management,clinical care and health management;the plan was revised and finalized according to expert opinions.Results For the two rounds of expert consultation,the positive coefficients were 100%,the authoritative coefficients were 0.854 and 0.892,and Kendall's coefficients of concordance were 0.235 and 0.485,respectively.After the two rounds of expert consultation,the importance of each item was scored 4.58-5.00,and the coefficient of variation was 0-0.18.The final discharge plan for stroke patients includes 5 first-level items(discharge assessment,discharge preparation,discharge guidance,discharge follow-up and effect evaluation),14 second-level items and 44 third-level items.Conclusion The discharge plan for stroke patients,developed through literature research and expert consultation,is scientific and reliable.It is a valuable reference for whole-process discharge management of stroke patients.