基于信息-动机-行为技巧模型脑卒中患者家庭照顾者延续护理方案的构建

目的 构建基于IMB技巧模型脑卒中患者家庭照顾者的延续护理方案,为脑卒中患者家庭照顾者延续护理干预提供参考依据。方法 以IMB技巧模型为理论框架,结合相关实践指南和文献分析,拟定方案初稿;采用德尔菲法对15名专家进行2轮函询,对各级指标进行筛选和修改。结果 2轮专家函询的积极系数均为100%;专家的权威系数分别为0.893、0.906;专家协调系数分别为0.348、0.312（均P<0.001）。最终形成包括一级指标3项,二级指标13项和三级指标52项的基于IMB技巧模型的脑卒中家庭照顾者延续护理方案。结论 脑卒中患者家庭照顾者的延续护理方案具有一定的科学性、实用性和可行性,能提高脑卒中患者家庭照顾者照护能力,为促进脑卒中患者延续护理发展提供参考价值。

Construction of Extending Nursing Program for Family Caregivers of Stroke Patients Based on Information-Motivation-Behavioral Skills Model

Objective To construct an extending nursing program for family caregivers of stroke patients based on Information-Motivation-Behavioral (IMB) Skills Model, and to provide reference for extending nursing intervention for family caregivers of stroke patients. Methods The IMB Skills Model was used as the theoretical framework, and the draft program was formed combined with relevant practical guidelines and literature analysis. Delphi method was used to conduct two rounds of correspondence consultation with 15 experts, and the indicators at all levels were screened and modified. Results Recovery rate of the two rounds of expert consultation was 100%; expert’s authority coefficient 0.893, and 0.906; expert’s coordination coefficient 0.348, and 0.312, respectively (all P<0.001). The final program consisted of 3 first-level, 13 second-level and 52 third-level indicators. Conclusion The program constructed in this study is scientific and feasible, and it can provide reference for improving the nursing ability of family caregivers of stroke patients and promoting the development of extending nursing for stroke patients.