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 ›› 2026, Vol. 26 ›› Issue (1): 60-65.doi: 10.3969/j.issn.1672-1756.2026.01.013

• 老年护理服务能力提升专题 • 上一篇    下一篇

轻度认知障碍老年人医养结合健康管理策略构建

车玲 郑桃云 胡慧 董明沂 夏文静 黄灿 李秀娟   

  1. 湖北中医药大学护理学院,430065 武汉市(车玲,郑桃云,胡慧,董明沂,夏文静,黄灿,李秀娟);湖北中医药大学老年脑健康中医药防护技术与新产品研发教育部工程研究中心(郑桃云)
  • 出版日期:2026-01-15 发布日期:2026-01-15
  • 通讯作者: 郑桃云,博士,副教授,E-mail:zhengtaoy0912@hbucm.edu.cn
  • 作者简介:车玲,硕士
  • 基金资助:
    2024年度湖北省教育厅科学研究计划指导性项目(B2024095)

Construction of an integrated medical and elderly care health management strategy for Mild Cognitive Impairment older adults

CHE Ling, ZHENG Taoyun, HU Hui, DONG Mingyi, XIA Wenjing, HUANG Can, LI Xiujuan   

  1. School of Nursing, Hubei University of Chinese Medicine, Wuhan, 430065, China
  • Online:2026-01-15 Published:2026-01-15
  • Contact: E-mail:zhengtaoy0912@hbucm.edu.cn

摘要: 目的:制定轻度认知障碍老年人医养结合健康管理策略,为这类老年人个性化健康管理提供依据。方法:以安德森模型为理论框架,通过文献研究形成轻度认知障碍老年人医养结合健康管理策略初稿,于2023年11月至2024年2月对19位专家进行两轮德尔菲咨询,形成健康管理策略终稿。结果:纳入文献32篇,两轮专家函询问卷有效回收率均为100%,专家权威系数分别为0.879、0.904,肯德尔协调系数分别为0.205、0.208(均P<0.001),形成的策略包括健康评估、健康教育、健康干预和健康随访4个模块和60项具体操作内容。结论:本研究制定的轻度认知障碍老年人医养结合健康管理策略具有较好的科学性、可靠性,可为轻度认知障碍老年人个性化健康管理提供依据。

关键词: 轻度认知障碍;老年人;健康管理;医养结合;中西医结合;德尔菲法

Abstract: Objective: To develop a health management strategy under integrated medical and elderly care for older adults with Mild Cognitive Impairment (MCI), offering a basis for personalized management. Methods: According to Anderson's Behavioral Model, we retrieved and analysed literatures to form a draft of the strategy for MCI older adults. Two rounds of Delphi consultations were conducted with 19 experts from November 2023 to February 2024. Results: Totally 32 studies were included, with two rounds of expert questionnaires both achieving a response rate of 100%. Expert authority coefficients were 0.879 and 0.904, and Kendall coordination coefficients were 0.205 and 0.208 (P<0.001), respectively. The strategy consisted of 60 specific terms to be categorized into four modules: health assessment, education, intervention, and follow-up. Conclusion: The health management strategy has strong scientific validity and reliability, providing a foundation for personalized management of MCI older adults.

Key words: Mild Cognitive Impairment; older adult; health management; integrated medical and elderly care; integrated Chinese and Western medicine; Delphi method

中图分类号:  R47;R197