轻度认知障碍老年人阶梯式营养管理方案的构建

目的 构建轻度认知障碍老年人阶梯式营养管理方案,为轻度认知障碍老年人提供系统、规范的护理干预措施。方法 检索轻度认知障碍老年人阶梯式营养管理方案及护理的所有证据形成最佳证据。拟订营养干预方案初稿。选取21名专家,进行2轮德尔菲专家咨询,按照专家咨询意见,结合临床管理实践,形成轻度认知障碍患者阶梯式营养管理方案。结果 16名专家经过2轮咨询后意见趋于一致,专家权威系数为0.86,2轮咨询指标的重要性肯德尔和谐系数分别为0.14和0.13,差异具有统计学意义（P<0.05）。构建的干预方案有一级条目5个,二级条目10个,三级条目34个。结论 本研究构建的轻度认知障碍老年人阶梯式营养管理方案具有可靠性、科学性、实用性。

Construction of Step-up Nutrition Management Program for Elderly People with Mild Cognitive Impairment

Objective To construct a step-up nutrition management program for elderly people with mild cognitive impairment (MCI), and to provide systematic and standardized nursing intervention for elderly people with MCI. Methods We searched step-up nutrition management programs for elderly people with MCI and nursing evidence to obtain the best evidence and the initial nutrition management program was constructed. Two rounds of consultation were conducted in 21 experts using Delphi method. The final step-up nutrition program for elderly people with MCI was constructed based on expert opinions and clinical practice. Results Expert authority coefficient of the two-round consultation was 0.86; the Kendall’s W coefficient was 0.14 to 0.13, respectively, showing statistical significance (P<0.05). The final program consisted of 5 first-level, 10 second-level, and 34 third-level items. Conclusion The constructed step-up nutrition management program for elderly people with MCI is scientific and practical.