基于奥马哈问题分类系统老年综合评估指标体系的构建

目的 为住院老年病人构建可行的、全面的筛查综合性评估指标体系。方法 基于奥马哈问题分类系统,结合文献回顾、临床调研、小组头脑风暴的方法,初步形成老年综合评估表。通过采用Delphi法对15名老年护理专家进行2轮函询。结果 2轮专家函询问卷回收率分别是100%、93%,专家权威系数0.845。2轮专家函询一级指标、二级指标、三级指标专家意见Kendall’s W系数分别为0.272,0.204,0.207（P<0.01）。最终形成老年综合评估体系一级指标4个、二级指标22个,三级指标125个。结论 专家积极性和权威程度高,意见协调程度好,因此老年综合评估指标体系可以综合评估住院老年病人。

Development of Comprehensive Geriatric Assessment Indicator System Based on Omaha System

Objective To develop a feasible comprehensive geriatric assessment indicator system for hospitalized elderly inpatients. Methods On the basis of Omaha system, a comprehensive geriatric assessment indicator system was developed after literature review, clinical survey and expert interview. Two rounds of Delphi consultation were performed in 15 experts in geriatric nursing. Results The effective recovery rate of the two rounds of expert consultation was 100%, and 93% respectively, and expert authority coefficient 0.845. After two rounds expert consultation, Kendall’s W of first-level, second-level and third-level indicators was 0.272,0.204, and 0.207 respectively（P<0.01）. The final developed comprehensive geriatric assessment indicator system included 4 first-level, 22 secondary-level and 125 third-level indicators. Conclusion With high enthusiasm and authority and good concordance of experts, the comprehensive geriatric assessment indicator system could be used as a tool to comprehensively evaluate the elderly inpatients.