首页|脑卒中后尿失禁病人中医辨证施护方案的构建

脑卒中后尿失禁病人中医辨证施护方案的构建

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目的:运用德尔菲法构建脑卒中后尿失禁病人中医辨证施护方案.方法:运用查阅文献、理论分析结合临床实践,设计脑卒中后尿失禁病人中医辨证施护方案函询问卷.通过德尔菲法开展专家函询,采取电子邮件方式对15名专家进行2轮函询,依据专家评分和函询意见筛选并修订方案.结果:2轮函询问卷回收率均为100%,2轮函询专家权威系数分别为0.890,0.903.最终形成的脑卒中后尿失禁病人中医辨证施护方案包括肾气不固型和肝肾阴虚型两部分,肾气不固型包含一级指标4个、二级指标11个、三级指标22个,肝肾阴虚型包含一级指标4个、二级指标11个、三级指标26个.结论:制定的脑卒中后尿失禁病人辨证施护方案具有较高的科学性,可为临床实施脑卒中后尿失禁病人中医辨证施护方案提供借鉴.
Construction of TCM dialectical nursing scheme for patients with post-stroke urinary incontinence
Objective:To develop a traditional Chinese medicine(TCM)syndrome differentiation and nursing intervention program for patients with post-stroke urinary incontinence using the Delphi method.Methods:A questionnaire for the TCM syndrome differentiation and nursing intervention program for patients with post-stroke urinary incontinence was designed based on literature review,theoretical analysis,and clinical practice.The Delphi method was employed to conduct two rounds of expert consultation via email with 15 experts.The intervention measures were screened and revised based on expert scores and consultation feedback.Results:The response rate for both rounds of the questionnaire were 100%,with expert authority coefficients of 0.890 and 0.903,respectively.The final TCM syndrome differentiation and nursing intervention program for patients with post-stroke urinary incontinence consists of two parts:kidney qi insufficiency and liver-kidney yin deficiency.The kidney qi insufficiency section includes 4 first-level indicators,11 second-level indicators,and 22 third-level indicators;the liver-kidney yin deficiency section includes 4 first-level indicators,11 second-level indicators,and 26 third-level indicators.Conclusion:The developed syndrome differentiation and nursing intervention program for patients with post-stroke urinary incontinence is highly scientific,providing a reference for clinical implementation of TCM syndrome differentiation and nursing for this patient population.

strokeurinary incontinencetraditional Chinese medicine nursingsyndrome differentiation and careDelphi method

要永娟、王鹏、梁翠萍、范苗苗、贺婷

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山西省针灸医院,山西 030006

北京大学第一医院太原医院(太原市中心医院)

脑卒中 尿失禁 中医护理 辨证施护 德尔菲法

2025

护理研究
中华护理学会山西分会,山西医科大学第一医院,山西医科大学护理学院

护理研究

北大核心
影响因子:1.377
ISSN:1009-6493
年,卷(期):2025.39(1)