基于国际功能、残疾和健康分类理论框架构建脑卒中病人需求分级指标体系  

Construction of a need assessment grading indicators system for stroke patients based on the theoretical framework of the International Classification of Functioning,Disability and Health

作　　者：李孟喜[1] 宦迎春[1] 秦洁 曹松梅[1] 朱丽群[1] LI Mengxi;HUAN Yingchun;QIN Jie;CAO Songmei;ZHU Liqun(Affiliated Hospital of Jiangsu University,Jiangsu 212001 China)

机构地区：[1]江苏大学附属医院,212001

出　　处：《全科护理》2022年第11期1446-1451,共6页Chinese General Practice Nursing

基　　金：2020年江苏大学临床医学专项基金(护理专项)立项项目,编号:JDLCHL202001。

摘　　要：目的:基于国际功能、残疾和健康分类(ICF)理论框架构建脑卒中病人需求分级指标体系,为脑卒中病人需求分级提供依据。方法:在ICF理论基础上,结合文献分析、质性访谈、专家小组会议初步拟定脑卒中需求评估指标,通过德尔菲法经过2轮专家函询,最终确定脑卒中病人需求分级指标体系内容。结果:2轮专家函询问卷的回收率为93.75%,专家权威系数(Cr)为0.907。各级指标的肯德尔协调系数W值为0.338~0.591。构建的脑卒中病人需求分级指标包含生理功能需求、活动需求、心理认知功能需求、参与需求、环境需求5个一级指标,17个二级指标,41个三级指标。结论:构建的脑卒中病人需求分级指标科学、可靠,可以为脑卒中病人需求分级提供基础。Objective:To construct a need assessment grading indicators system based on the theoretical framework of the the International Classification of Functioning,Disability and Health(ICF),so as to provide basis for stroke demand grading.Methods:On the basis of ICF theory,combined with literature analysis,qualitative interview and expert group meeting,stroke needs assessment indicators were initially developed,and the contents of stroke patients′needs classification index system were finally determined through Delphi method and two rounds of expert letter consultation.Results:The recovery rate of the two rounds of expert correspondence questionnaire was 93.75%,and the expert authority coefficient(Cr)was 0.907.The Kendal coordination coefficients of all indexes ranged from 0.338 to 0.591.The constructed demand grading index of stroke patients included 5 first-level indicators,17 second-level indicators and 41 third-level indicators,including physiological function demand,activity demand,psychological cognitive function demand,participation demand and environmental demand.Conclusion:The needs grading assessment indicators of stroke patients are reliable and scientific,which can provide the basis for the needs grading of stroke patients.

关 键 词：脑卒中 需求 生理 活动 心理认知 参与 环境 德尔菲法 指标体系 

分 类 号：R473.74[医药卫生—护理学]