运用德尔菲法构建老年综合康复评估体系专家共识  

Establishing expert consensus on comprehensive rehabilitation assessment for elderly disability using Delphi method

作　　者：王维佳 王凤怡 霍林楠 杨永红[1,2] 魏全 WANG Weijia;WANG Fengyi;HUO Linnan;YANG Yonghong;WEI Quan(Rehabilitation Medicine Center and Institute of Rehabilitation Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Key Laboratory of Rehabilitation Medicine in Sichuan Province,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院康复医学中心/康复医学研究所,成都610041 [2]康复医学四川省重点实验室,成都610041

出　　处：《华西医学》2024年第6期866-871,共6页West China Medical Journal

基　　金：国家重点研发计划(2020YFC2008500,2020YFC2008502)。

摘　　要：目的制定专门针对老年人群的综合康复评估体系专家共识。方法计算机检索Medline、Embase、Cochrane Library、中国知网、维普数据库,检索时限均为2016年6月—2021年6月,提取老年康复评估的相关资料。在文献分析和研究组讨论的基础上,采用德尔菲法,通过对20位老年康复领域的专家进行两轮专家函询,筛选核心评估内容,形成老年综合康复评估体系专家共识。结果共纳入158篇文献。共制定了运动心肺、感知觉、认知心理(含语言)、吞咽二便4大板块,41个条目的函询表。两轮专家函询的专家积极系数均为1.0,权威系数得分为(0.92±0.05)分,两轮函询条目变异系数分别为0.174±0.043和0.172±0.063,Kendall协调系数分别为0.587、0.601,P值均<0.05。最终形成包含16个项目的老年综合康复评估体系专家共识。结论通过德尔菲法构建的老年综合康复评估体系专家共识,包括运动、感知觉、认知、吞咽、言语、心肺、二便、精神心理等元素,专家认可度和一致性较高。Objective To construct the expert consensus on comprehensive rehabilitation assessment system for the elderly in the hospital and community.Methods Medline,Embase,Cochrane Library,China National Knowledge Infrastructure and VIP databases were searched for geriatric rehabilitation assessment materials from June 2016 to June 2021.The primary items were summarized through literature review and research group discussion,and then Delphi method was used among 20 experts in geriatric rehabilitation medicine to develop consensus-based core items for the elderly comprehensive rehabilitation assessment system.Results A total of 158 references were included.Through integration,sorting and screening,the research team initially formulated 41 items and four major sections including cardiopulmonary exercise,sensory perception,cognition and psychology(speech contained),and swallowing,urination and defecation.The effective recovery rates of the two rounds of experts consultation were both 100%,the mean expert authority coefficient was 0.92±0.05,the variation coefficients were 0.174±0.043 and 0.172±0.063,respectively;the Kendall coefficients of concordance were 0.587 and 0.601,with P values<0.05 for both,respectively.Finally,The comprehensive rehabilitation assessment system for the elderly including 16 items would be formed.Conclusion The expert consensus on comprehensive rehabilitation assessment system for the elderly constructed by Delphi method includes motor,sensory perception,cognition,swallowing,speech,cardiopulmonary,defecation,mental and psychological elements,which are identified with high recognition and consistency from experts.

关 键 词：老年 综合康复评估 失能 德尔菲法 

分 类 号：R493[医药卫生—康复医学]