CAJ | 학술논문

目的应用Delphi法建立专用于临床脑卒中患者的护理评估表,实现对患者现存和潜在问题的全面评估,为不同患者群体实现特异性的护理评估提供参考.方法先依据奥马哈系统确立评估表的一级指标和二级指标,再结合210份脑卒中患者护理记录单,列出二级指标下的具体条目,采用Delphi法对22名专家进行2轮问卷调查,进一步了解专家对该评估表的意见和建议.结果确立了由4个一级指标、35个二级指标以及若干具体条目组成的临床脑卒中患者护理评估表.结论 Delphi法所确立的临床脑卒中患者评估表能较全面客观的反映患者在住院期间所处的环境以及自身的生理、心理以及行为状况,可以作为临床脑卒中患者的评估工具.
목적 응용Delphi법건립전용우림상뇌졸중환자적호리평고표,실현대환자현존화잠재문제적전면평고,위불동환자군체실현특이성적호리평고제공삼고.방법 선의거오마합계통학립평고표적일급지표화이급지표,재결합210빈뇌졸중환자호리기록단,렬출이급지표하적구체조목,채용Delphi법대22명전가진행2륜문권조사,진일보료해전가대해평고표적의견화건의.결과 학립료유4개일급지표、35개이급지표이급약간구체조목조성적림상뇌졸중환자호리평고표.결론 Delphi법소학립적림상뇌졸중환자평고표능교전면객관적반영환자재주원기간소처적배경이급자신적생리、심리이급행위상황,가이작위림상뇌졸중환자적평고공구.
Objective To establish an assessment scale for hospital stroke patients with Delphi method,by using it to help the nurses evaluate patients' existing and potential problems,and to provide foundations for specific assessment on different patient groups.Methods The first-level indicators and second-level indicators were developed on the basis of the Omaha system.210 nursing records of hospital stroke patients were then combined with to form concrete items.Totally 22 nursing specialists were interviewed with two rounds in order to further collect the opinions and suggestions about the assessment scale.Results 4 first-level indicators,35 second-level indicators and a number of items were included in the assessment scale.Conclusions The assessment scale for hospital stroke patients established by Delphi method comprehensively shows the environmental,physical,mental and behavioral condition in hospital,and it could be used as a tool to assess the hospital stroke patients.