关键词: 痴呆；照护；技术方案；德尔菲法

Abstract: Objective: To develope the care technology program for patients with moderate to severe dementia, and to offer practical guidance for dementia care. Methods: A total of 35 experts were involved in two rounds of expert consultation using the Delphi method. The first draft of the care technology program which was developed based on literature review and service practice, was assessed for importance, and experts provided specific modifications and supplementary suggestions. Results: The response rates for the two rounds of expert consultation were both 91.43%, authoritative coefficients were 0.906 and 0.942, coordination coefficients were 0.096 and 0.065, respectively. Following the two rounds of expert consultation, five care elements, including personalized psychosocial support, drug management, education, age-related physical disease management, and living environment arrangement, were determined as primary indicators. These elements received a mean importance assignment of 4.41-4.75, with a coefficient of variation of 0.093-0.181. Additionally, there were 89 subordinating technical content with a mean importance assignment of 3.84-4.88 and a coefficient of variation of 0.070-0.259. Specifically, there were 37 care technologies for patients with moderate dementia and 39 care technologies for their caregivers. For severe dementia patients, there were 4 additive items, and 9 additive items for their caregivers. Conclusion: The care technology program covers five core care elements, can provide scientific guidance for high-quality care practice for patients with moderate to severe dementia. The expert opinions are coordinated and centralized, and each item of the program has been evaluated to have a good level of importance.

Key words: dementia; care; technology program; Delphi method