主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (11): 1611-1616.doi: 10.3969/j.issn.1672-1756.2020.11.003

• 特别策划·加强老年患者护理服务 • 上一篇    下一篇

老年患者出院准备服务需求评估指标的构建

胡慧秀 孙超 崔玲玲 张洁 王紫馨   

  1. 北京医院护理部 国家老年医学中心 中国医学科学院老年医学研究院,100730 北京市(胡慧秀,孙超);心内科(崔玲玲);老年医学科(张洁);呼吸与危重症医学科(王紫馨)
  • 出版日期:2020-11-15 发布日期:2020-11-15
  • 通讯作者: 孙超,硕士,副主任护师,护理部副主任,E-mail:sunchaobjyy@163.com
  • 作者简介:胡慧秀,硕士,护师
  • 基金资助:
    北京医院院内课题(BJ-2019-166);《中国护理管理》杂志社2020年“护理管理科研基金项目”(CNM-2020-04);北京医院临床研究“121工程项目”(BJ-2019-194)

Construction of assessment index for the demand of discharge planning of elderly inpatients

HU Huixiu, SUN Chao, CUI Lingling, ZHANG Jie, WANG Zixin   

  1. Department of Nursing, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Science, Beijing, 100730, China
  • Online:2020-11-15 Published:2020-11-15
  • Contact: E-mail:sunchaobjyy@163.com

摘要: 目的:构建老年患者出院准备服务需求评估指标,为早期识别具有较高延续性照护需求的老年群体提供依据。方法:通过文献研究、德尔菲法、层次分析法,确定老年患者出院准备服务需求评估指标及各指标权重。结果:2轮专家函询的专家积极性均为100%,专家权威系数为0.929,2轮专家函询后,一级指标的变异系数为0.06~0.21,肯德尔和谐系数为0.208,二级指标的变异系数为0~0.20,肯德尔和谐系数为0.140,最终构建的老年患者出院准备服务需求评估指标包括9个一级指标、34个二级指标。结论:本研究构建的老年患者出院准备服务需求评估指标科学可靠,可为临床护理人员评估老年患者出院准备服务需求、早期识别具有较高延续性照护需求的老年群体提供依据。

关键词: 出院准备服务;老年患者;指标;德尔菲技术

Abstract: Objective: To develop the assessment index system for the demand of discharge planning of elderly inpatients, and to provide references for early identification of elderly patients with high demand in transitional care. Methods: Through literature research, Delphi method and analytic hierarchy process, the framework of the assessment index system for the demand of discharge planning of elderly inpatients and the weight value of each assessment index were constructed. Results: The recovery rates of the two rounds of Delphi expert consultation were 100% respectively and the authoritative coefficients of experts was 0.929. After 2 rounds of expert consultation, the variation coefficients of each first-level index ranged from 0.06 to 0.21, and the coefficient coordination was 0.208, the variation coefficients of each second-level index ranged from 0 to 0.20, and the coefficient coordination was 0.140. Finally, the assessment index system contained 9 first-level indicators and 34 second-level indicators. Conclusion: The assessment index system for the demand of discharge planning of elderly inpatients can provide unified standard for clinical nurses to assess the demand of discharge planning, and can early identify the elderly patients with high demand in transitional care.

Key words: discharge planning; hospitalized elderly patients; index; Delphi technique

中图分类号: 

  • R47