摘要
目的:构建基于奥马哈系统的帕金森病脑深部电刺激术(DBS)病人主要照顾者负担护理干预方案。方法:通过文献检索构建基于奥马哈系统的帕金森病DBS病人主要照顾者负担护理干预方案初稿,进行专家函询,根据专家函询结果对方案进行修订。结果:进行2轮专家函询,问卷有效回收率均为100%;专家权威系数分别为0.88和0.87;第2轮专家函询基于奥马哈系统的帕金森病DBS病人主要照顾者负担护理干预方案问题分类各条目的重要性得分为4.00~4.90分,变异系数(CV)为0.06~0.24;干预类别各条目的重要性得分为4.10~4.70分,CV为0.10~0.22。最终形成的基于奥马哈系统的帕金森病DBS病人主要照顾者负担护理干预方案包括问题分类、干预类别、干预措施3个部分,其中,问题分类表包含4个一级条目、17个二级条目、31个三级条目,干预类别表包含4个一级条目和7个二级条目,干预措施表包含7项干预措施、22条干预内容。结论:基于奥马哈系统的帕金森病DBS病人主要照顾者负担护理干预方案具有科学性、专科性、可持续性。
Objective:To construct Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing deep brain stimulation(DBS).Methods:The initial draft of Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing DBS was developed through literature review.Expert consultations were conducted.The program was revised based on experts'feedback.Results:Two rounds of expert consultations were performed.The valid questionnaire response rate for both rounds of expert consultations was 100%.The expert authority coefficients were 0.88 and 0.87,respectively.In the second round of consultations,the importance scores for each item in the problem classification of the Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing DBS ranged from 4.00 to 4.90.The coefficient of variation(CV)ranged 0.06 to 0.24.For the intervention categories,the importance scores ranged from 4.10 to 4.70,and CV ranged 0.10 to 0.22.The final Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing DBS consisted of 3 parts,namely problem classification,intervention categories,and intervention measures.The problem classification table included 4 first-level items,17 second-level items,and 31 third-level items.The intervention categories table included 4 first-level items and 7 second-level items.The intervention measures table comprised 7 intervention strategies and 22 intervention details.Conclusions:The Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing DBS demonstrated scientific rigor,clinical specificity,and sustainability.
作者
赵琰
邬剑军
沈彬
许雅芳
ZHAO Yan;WU Jianjun;SHEN Bin;XU Yafang(Huashan Hospital,Fudan University,Shanghai 200040 China)
出处
《护理研究》
北大核心
2025年第18期3059-3065,共7页
Chinese Nursing Research
基金
上海周良辅医学发展基金会项目,编号:XM00036-2022-1
复旦大学-复星护理科研基金项目,编号:FNF202324。
