老年综合征入院评估表的构建  

Construction of admission assessment table for geriatric syndrome

作　　者：何红瑶 何文[1] 林哲欣[1] 元刚[1] 方海云 李琴 沈曼璇[1] 陈妙虹[1] He Hongyao;He Wen;Lin Zhexin;Yuan Gang;Fang Haiyun;Li Qin;Shen Manxuan;Chen Miaohong(The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China;Guangzhou Nanfang University,Guangzhou 510970,Guangdong Province,China)

机构地区：[1]中山大学附属第一医院老年科,广东广州510080 [2]广州南方学院,广东广州510970

出　　处：《现代临床护理》2024年第8期47-55,共9页Modern Clinical Nursing

基　　金：国家自然科学基金资助项目,项目编号为62175263;广州市科技计划项目,项目编号为202002020011。

摘　　要：目的编制老年综合征入院评估表,为快速、准确筛选入院老年患者老年综合征提供评估工具。方法2021年5月—2023年12月通过文献法拟定评估表初始条目池,选择全国6个省市7家机构的老年护理、护理管理、护理教育、老年医学4个领域的16名专家,采用改良德尔菲法对评估表进行2轮函询。结果2轮专家函询的积极性系数均为100.00%,专家权威系数为0.88;第1轮专家函询三级指标的重要性赋值为4.06~4.75分,变异系数为0.09~0.25,满分率为43.75%~81.25%,Kendall协调系数W为0.210;第2轮专家函询三级指标的重要性赋值为4.63~4.94分,变异系数为0.05~0.13,满分率为62.50%~93.75%,Kendall协调系数W为0.419。2轮专家函询后最终确定了包括既往史、躯体功能、老年常见症状、精神心理状态、社会经济状况5个一级指标、26个二级指标,41个三级指标的老年综合征入院评估表。结论本研究编制的老年综合征入院评估表,具有一定的科学性和实用性,适用于临床快速筛选入院老年患者是否存在老年综合征。Objective To develop an inpatient assessment form for geriatric syndromes,aiming to quickly and accurately determine whether elderly inpatients are at risk of geriatric syndromes.Methods From May 2021 to December 2023,an initial item pool for the scale was proposed through literature review.Sixteen experts from four fields of geriatric nursing,nursing management,nursing education,and geriatric medicine were selected from seven institutions in six provinces and cities across the country.Two rounds of Delphi expert consultation were conducted to inquire about the assessment form.Results The enthusiasm coefficient of the two rounds of expert consultation was 100.00%,and the expert authority coefficient was 0.88.In the first round of expert consultation,the importance ratings of the three-level indicators ranged from 4.06 to 4.75,with a coefficient of variation of 0.09 to 0.25,a full score rate of 43.75%to 81.25%,and a Kendall coordination coefficient W of 0.210.In the second round of expert consultation,the importance ratings of the three-level indicators ranged from 4.63 to 4.94,with a coefficient of variation of 0.05 to 0.13,a full score rate of 62.50%to 93.75%,and a Kendall coordination coefficient W of 0.419.After two rounds of expert consultation,the inpatient assessment form for geriatric syndromes was finally determined,including 5 first-level indicators(past history,physical function,common geriatric symptoms,mental and psychological status,socioeconomic status),26 second-level indicators,and 41 third-level indicators.Conclusion The inpatient assessment form for geriatric syndromes developed in this study is scientifically and practically feasible and can be used to quickly identify the risk of geriatric syndromes in elderly inpatients.

关 键 词：老年综合征 入院评估 德尔菲法 

分 类 号：R473.5[医药卫生—护理学]