应用德尔菲法开发适用于基层的老年痴呆防治促进培训课程  

Developing a training curriculum for implementing the national initiative for promoting dementia care and prevention using the Delphi method

作　　者：马昕 张明[2] 李涛[1] 解恒革[3] 唐毅[4] 张海峰[1] 夏梦梦 陈庆岭 于欣[1] 王华丽[1] Ma Xin;Zhang Ming;Li Tao;Xie Hengge;Tang Yi;Zhang Haifeng;Xia Mengmeng;Chen Qingling;Yu Xin;Wang Huali(Dementia Care and Research Center,The Sixth Hospital of Peking University,Institute of Mental Health,Key Laboratory of Mental Health of the National Health Commission(Peking University),National Clinical Medical Research Center for Mental Disorders(The Sixth Hospital of Peking University),Beijing 100191,China;Department of Psychiatry,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Department of Neurology,the Second Medical Center,Chinese PLA General Hospital,Beijing 100853,China;Department of Neurology,Xuanwu Hospital of Capital Medical University,Beijing 100053,China;Beijing Jiahua Social Work Service Center,Beijing 100107,China;Beijing Haidian District Cuwei Road Retirement Home for Retired Military Cadres,Beijing 100039,China)

机构地区：[1]北京大学第六医院记忆障碍诊疗与研究中心、北京大学精神卫生研究所、国家卫生健康委员会精神卫生学重点实验室(北京大学)、国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100191 [2]中山大学附属第三医院精神心理科,广州510630 [3]解放军总医院第二医学中心神经内科,北京100853 [4]首都医科大学宣武医院神经内科,北京100053 [5]北京佳华社会工作服务中心,北京100107 [6]北京市海淀区军队离退休干部翠微路休养所,北京100039

出　　处：《中华老年医学杂志》2025年第2期208-215,共8页Chinese Journal of Geriatrics

基　　金：科技创新2030-"脑科学与类脑研究"重大项目课题(2021ZD0201805)。

摘　　要：目的开发适用于基层的老年痴呆防治促进行动专项培训教程方案,以满足全国完成痴呆防治促进行动主要任务的需要。方法共44名专家参与了德尔菲法专家咨询,对基于老年痴呆防治现状编制的教程方案初稿的内容框架进行重要性评价、实用度评级以及易推广度评价,并提供具体修改和补充建议。结果专家咨询问卷回收率为95.5%,回收有效率为90.9%,专家权威系数为0.91,专家打分Kendall协调系数(W)=0.316,P<0.001。最终确定记忆门诊工作基础、全程管理实务技能、照护者团体辅导技术以及照护者技能实务4个课程模块,各模块重要性赋值均数为4.92~4.95,变异系数为0.044~0.063;实用度赋值均数为4.78~4.92,变异系数为0.055~0.098;易推广度赋值均数为4.28~4.65,变异系数为0.140~0.203。4个模块共包括55项具体课程内容条目,各条目重要性赋值均数为4.76~5.00,变异系数为0.000~0.121;实用度赋值均数为4.55~4.98,变异系数为0.031~0.150;易推广度赋值均数为4.00~4.83,变异系数为0.091~0.245。结论教程方案涵盖4个模块和55个具体课程内容条目,专家对于各模块和各条目的意见协调且集中,教程方案具有较好的重要性、实用度、易推广度评价等级,能够满足完成痴呆防治促进行动主要任务的需要。Objective To develop a comprehensive training curriculum to enhance the effective implementation of the national initiative promoting dementia care and prevention.Methods The Delphi method was utilized in an expert consultation that included 44 participants.The initial draft of the training curriculum was developed based on the current state of dementia care and prevention.This draft was subsequently evaluated for its importance,feasibility,and ease of dissemination.Experts offered targeted modifications and additional recommendations.Results The recovery rate of the expert consultation questionnaire was 95.5%,with a recovery validity rate of 90.9%.The expert authority coefficient was 0.91,and the Kendall's coordination coefficient(W)for expert scoring was 0.316,with a significance level of P<0.001.Four course modules were ultimately identified:the foundation of memory clinic work,the complete management practice skills,group counseling techniques for caregivers,and practical skills for caregivers.The importance of these modules was rated with a mean of 4.92 to 4.95,and the coefficient of variation ranged from 0.044 to 0.063.Each module had a mean value of 4.92 to 4.95,with a coefficient of variation of 0.044 to 0.063;the mean value for practicality was between 4.78 and 4.92,with a coefficient of variation of 0.055 to 0.098;and the mean value for ease of generalization ranged from 4.28 to 4.65,with a coefficient of variation from 0.140 to 0.203.The four modules comprised a total of 55 specific course content items,with the mean value for each item ranging from 4.76 to 5.00 and a coefficient of variation from 0.000 to 0.121.The mean value of usefulness assigned to each entry ranged from 4.55 to 4.98,with a coefficient of variation from 0.031 to 0.150.Additionally,the mean value for ease of propagation assigned to each entry ranged from 4.00 to 4.83,with a coefficient of variation from 0.091 to 0.245.Conclusions The developed training curriculum,which comprises four course modules and 55 items,demonstrated consiste

关 键 词：痴呆 全程管理 培训教程 德尔菲法 

分 类 号：R749.16[医药卫生—神经病学与精神病学] R193[医药卫生—临床医学]