摘要
目的构建适用于我国老年髋部骨折患者术后全序列康复风险评估指标体系,为提高患者进行术后康复活动的安全性提供依据。方法通过文献分析法与半结构式访谈法,初步拟订老年髋部骨折患者术后全序列康复风险评估指标体系,采用德尔菲专家函询法,选取30名专家进行2轮专家函询,确定指标体系和权重。结果2轮专家函询有效问卷回收率均为100.00%,专家权威系数为0.94。2轮肯德尔和谐系数分别为0.368、0.442(均P<0.05)。构建的老年髋部骨折患者术后全序列康复风险评估指标包含7项一级指标、63项二级指标。结论本研究构建的老年髋部骨折患者术后全序列康复风险评估指标体系具有科学性及可靠性,可为评估老年髋部骨折患者术后的康复风险并采取针对性干预措施提供参考。
Objective To develop a full-sequence postoperative rehabilitation risk assessment system for elderly patients with hip fracture in China,in order to provide a basis for improving the safety of postoperative rehabilitation activities.Methods Through literature analysis and semi-structured interviews,a full-sequence postoperative rehabilitation risk assessment system for elderly patients with hip fracture was preliminarily developed.The Delphi expert consultation method was then employed,involving two rounds of expert consultations with 30 experts,to finalize the index system and determine the weight of each indicator.Results The effective questionnaire response rates for both rounds of expert consultation were 100.00%,the expert authority coefficient was 0.94.The Kendall′s coefficients of concordance were 0.368 and 0.442,respectively(both P<0.05).The constructed full-sequence posto-perative rehabilitation risk assessment system for elderly patients with hip fracture contained 7 primary indicators and 63 secondary indicators.Conclusion The full-sequence postoperative rehabilitation risk assessment system for elderly patients with hip fracture constructed in this study is scientific and reliable,which can provide reference for assessing postoperative rehabilitation risk of elderly patients with hip fracture and taking targeted intervention measures.
作者
符秋燕
黄天雯
肖万莲
谭运娟
刘巧梨
黄晓敏
陈晓玲
李娜
朱庆棠
Fu Qiuyan;Huang Tianwen;Xiao Wanlian;Tan Yunjuan;Liu Qiaoli;Huang Xiaomin;Chen Xiaoling;Li Na;Zhu Qingtang(Department of Orthopedics,Trauma&Microsurgery,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)
出处
《护理学杂志》
北大核心
2025年第12期22-27,共6页
Journal of Nursing Science
基金
中山大学附属第一医院柯麟“导航”护理人才培育计划项目(KLHL2023CC04)
中山大学附属第一医院临床专科能力支持计划项目(R70034)。
关键词
髋部骨折
康复活动
老年患者
全序列
风险评估
指标体系
患者安全
康复护理
hip fracture
rehabilitation activities
elderly patients
full sequence
risk assessment
index system
patient safety
rehabilitation nursing
