脑卒中患者家庭护理循证实践方案的构建
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女,硕士在读,护师

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山西省研究生教育创新项目(2020SY238)


Development of an evidence-based practice protocol for home care of stroke patients
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    目的 构建脑卒中患者家庭护理循证实践方案,为临床护理随访提供指引。方法 检索国内外数据库获取脑卒中患者家庭管理最佳证据并形成推荐意见,拟定脑卒中患者家庭护理循证实践方案初稿,进行2轮专家函询。结果 构建包括组织管理、护理评估、设定目标、家庭管理、患者个性化服务、远程服务6个方面共40个条目的方案,据此形成问题评估清单和实践流程。第1轮及第2轮专家积极性分别为93.75%、100%,权威系数为0.805、0.810, Kendall′s W系数为0.326、0.442及0.422、0.456(均P<0.01)。结论 脑卒中患者家庭护理循证实践方案构建过程规范严谨,内容全面,可用于脑卒中患者家庭护理实践。

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    Objective To develop an evidence-based practice protocol for home care of the stroke patient, and to provide a guide for nurse follow-up. Methods We searched foreign and domestic electronic databases to retrieve the best evidence of family caregiving for patients with stroke and to form recommendations, then we wrote draft of evidence-based practice protocol for home care of the stroke patient, and conducted two rounds of expert consultation. Results The protocol was composed of 40 items, including six aspects of organizational management, nursing assessment, goal setting, family management, patient-centered service and remote service. And problem evaluation list and practice process were formulated based on the protocol. The return rate of questionnaires was 93.75% in round 1 and 100% in round 2 of expert consultation. The authority coefficients of two rounds were 0.805 and 0.810, respectively. The Kendall′s coefficients of concordance W were 0.326 and 0.442 in round 1, 0.422 and 0.456 in round 2(P<0.01 for all), respectively. Conclusion The process of developing home care practice protocol for stroke patients is standar-dized and rigorous, and the content is comprehensive, which can be used in the practice of home care for stroke patients.

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何兴月,杨辉,曹慧丽.脑卒中患者家庭护理循证实践方案的构建[J].护理学杂志,2021,36(20):5-9+14

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  • 收稿日期:2021-05-12
  • 最后修改日期:2021-06-30
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  • 在线发布日期: 2022-09-16