老年患者出院准备服务需求评估指标的构建  

Construction of assessment index for the demand of discharge planning of elderly inpatients

作　　者：胡慧秀[1] 孙超[1] 崔玲玲 张洁[3] 王紫馨[4] HU Huixiu;SUN Chao;CUI Lingling;ZHANG Jie;WANG Zixin(Department of Nursing,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Science,Beijing,100730,China)

机构地区：[1]北京医院护理部,国家老年医学中心,中国医学科学院老年医学研究院,北京市100730 [2]北京医院心内科,国家老年医学中心,中国医学科学院老年医学研究院,北京市100730 [3]北京医院老年医学科,国家老年医学中心,中国医学科学院老年医学研究院,北京市100730 [4]北京医院呼吸与危重症医学科,国家老年医学中心,中国医学科学院老年医学研究院,北京市100730

出　　处：《中国护理管理》2020年第11期1611-1616,共6页Chinese Nursing Management

基　　金：北京医院院内课题(BJ-2019-166);北京医院临床研究“121工程项目”(BJ-2019-194);《中国护理管理》杂志社2020年“护理管理科研基金项目”(CNM-2020-04)。

摘　　要：目的:构建老年患者出院准备服务需求评估指标,为早期识别具有较高延续性照护需求的老年群体提供依据。方法:通过文献研究、德尔菲法、层次分析法,确定老年患者出院准备服务需求评估指标及各指标权重。结果:2轮专家函询的专家积极性均为100%,专家权威系数为0.929,2轮专家函询后,一级指标的变异系数为0.06〜0.21,肯德尔和谐系数为0.208,二级指标的变异系数为0〜0.20,肯德尔和谐系数为0.140,最终构建的老年患者出院准备服务需求评估指标包括9个一级指标、34个二级指标。结论:本研究构建的老年患者出院准备服务需求评估指标科学可靠,可为临床护理人员评估老年患者出院准备服务需求、早期识别具有较高延续性照护需求的老年群体提供依据。Objective: To develop the assessment index system for the demand of discharge planning of elderly inpatients, and to provide references for early identification of elderly patients with high demand in transitional care. Methods: Through literature research, Delphi method and analytic hierarchy process, the framework of the assessment index system for the demand of discharge planning of elderly inpatients and the weight value of each assessment index were constructed. Results: The recovery rates of the two rounds of Delphi expert consultation were 100% respectively and the authoritative coefficients of experts was 0.929. After 2 rounds of expert consultation, the variation coefficients of each first-level index ranged from 0.06 to 0.21, and the coefficient coordination was 0.208, the variation coefficients of each second-level index ranged from 0 to 0.20, and the coefficient coordination was 0.140. Finally, the assessment index system contained 9 first-level indicators and 34 second-level indicators. Conclusion: The assessment index system for the demand of discharge planning of elderly inpatients can provide unified standard for clinical nurses to assess the demand of discharge planning, and can early identify the elderly patients with high demand in transitional care.

关 键 词：出院准备服务 老年患者 指标 德尔菲技术 

分 类 号：R47[医药卫生—护理学]