脑卒中失能患者延续性护理方案的构建

目的:构建脑卒中失能患者延续性护理方案,为脑卒中失能患者出院后延续性护理提供指导。方法:基于文献分析初步编制服务方案,检索CNKI、万方、维普中文数据库、PubMed、Cochrane Library、Ovid数据库进行检索,检索时限截至2019年10月31日。在文献检索与分析的基础上,初步拟定专家咨询问卷,遵循知情同意和自愿的原则,最终共选入18名专家进行2轮专家咨询,构建脑卒中失能患者延续性护理方案。结果:第1轮专家咨询共发放专家咨询问卷18份,回收有效问卷17份,专家积极性系数为94.44%;第2轮专家咨询发放18份,回收有效问卷18份,专家积极性系数为100.00%,2轮专家咨询积极性系数均值为97.22%。2轮专家的判断依据系数0.80,熟悉程度系数均为0.79,本研究的权威程度系数均为0.80。经过2轮专家咨询,最终形成了三级联动管理的脑卒中失能患者延续性护理方案,4个关键时间点,共61个条目。结论:本研究结果可靠,形成的方案可以为开展脑卒中失能患者的延续性护理研究与实践提供一定的借鉴。

Construction of continuous nursing program for stroke patients with disability

Objective To construct a continuous nursing program for stroke patients with disability,so as to provide guidance for continuous nursing after discharge.Methods The service program was initially developed based on the literature analysis by retrieving China National Knowledge Infrastructure(CNKI),WanFang Data,VIP,PubMed,Cochrane Library and Ovid Database,and the retrieval time limit was as of October 31,2019.On the basis of literature search and analysis,an expert consultation questionnaire was initially drawn up.Following the principles of informed consent and voluntariness,a total of 18 experts were finally selected for two rounds of expert consultation to construct the continuous nursing program for stroke patients with disability.Results In the first round of expert consultation,a total of 18 expert consultation questionnaires were issued and 17 valid questionnaires were returned with the coefficient of expert motivation of 94.44%.In the second round of expert consultation,a total of 18 expert consultation questionnaires were issued and 18 valid questionnaires were returned with the coefficient of expert motivation of 100.00%.The mean value of the coefficient of motivation for the two rounds of expert consultation was 97.22%.The judgment basis coefficient of two rounds of expert was 0.80,the familiarity coefficient was all 0.79,and the authority coefficient of this study was 0.80.After two rounds of expert consultation,a three-level linkage management continuous nursing program for stroke patients with disability was finally formed,with 4 key time points and a total of 61 items.Conclusions The results of this study are reliable,and the formed program can provide a reference for the development of continuous nursing research and practice for stroke patients with disability.