基于国际功能、残疾和健康分类理论的社区居家老年人长期照护需求评估指标体系构建  

Construction of the evaluation index system for long-term care needs of community-dwelling elderly based on International Classification of Functioning,Disability and Health

作　　者：胡恒瑜 胡明月 崔盼盼 张俊梅[1] 冯辉[2] Hu Hengyu;Hu Mingyue;Cui Panpan;Zhang Junmei;Feng Hui(Nursing Department,Henan Provincial People's Hospital,Zhengzhou 450000,China;Xiangya School of Nursing,Central South University,Changsha 410013,China)

机构地区：[1]河南省人民医院护理部,郑州450000 [2]中南大学湘雅护理学院,长沙410013

出　　处：《中华现代护理杂志》2024年第22期2984-2991,共8页Chinese Journal of Modern Nursing

基　　金：湖南省科研创新项目(CX20210346)。

摘　　要：目的构建社区居家老年人长期照护需求的评估指标体系。方法基于国际功能、残疾和健康分类理论,采用文献研究法、描述性质性研究法初步形成评估指标体系框架,通过专家函询法修正和完善评估指标体系。结果对20名专家进行2轮函询。2轮专家函询的问卷有效回收率分别为90.0%(18/20)、94.4%(17/18),专家意见提出率分别为94.4%(17/18)和29.4%(5/17),专家权威系数分别为0.94和0.95,2轮专家函询后各指标的变异系数均<0.15,整体指标及各级指标的肯德尔和谐系数为0.277~0.441(P均<0.01),最终形成包含3项一级指标、12项二级指标和49项三级指标的评估指标体系。结论本研究建立的评估指标体系构建过程严谨,内容系统全面,研究方法和结果科学可靠,可为进一步编制社区居家老年人长期照护需求评估工具和建立长期照护需求评估分级标准提供依据。ObjectiveTo construct an evaluation index system for the long-term care needs of community-dwelling elderly.MethodsBased on the International Classification of Functioning,Disability and Health,a preliminary evaluation index system was formed using literature research and descriptive research.The evaluation index system was revised and improved through the expert consultation.ResultsTwo rounds of consultation were conducted on 20 experts.The effective response rates of the questionnaire for two rounds of expert consultation were 90.0%(18/20)and 94.4%(17/18),respectively.The expert opinion submission rates were 94.4%(17/18)and 29.4%(5/17),and the expert authority coefficients were 0.94 and 0.95,respectively.After two rounds of expert consultation,the coefficient of variation of each indicator was less than 0.15,and the Kendall harmony coefficients of the overall indicator and all levels of indicators were 0.277 to 0.441(all P<0.01).The final evaluation index system consisted of three first-level indicators,12 second-level indicators,and 49 third-level indicators.ConclusionsThe construction process of the evaluation index system established is rigorous,the content is comprehensive,and the research methods and results are scientific and reliable.It can provide a basis for further developing long-term care needs assessment tools for community-dwelling elderly and establishing grading standards for long-term care needs assessment.

关 键 词：老年人 长期照护 社区保健护理 国际功能、残疾和健康分类 德尔菲技术 

分 类 号：R473.2[医药卫生—护理学]