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护理学报 ›› 2024, Vol. 31 ›› Issue (24): 1-6.doi: 10.16460/j.issn1008-9969.2024.24.001

• 研究生园地 •    下一篇

脑卒中后吞咽障碍患者“互联网+”延续性康复管理方案的构建

陈坚1a,2, 项丽君1a, 罗彦嗣1a, 陈建辉1b, 崔艳丽1a,2, 廖琳1a,2, 颜明玉1a,2, 张晓梅1a   

  1. 1.南方医科大学南方医院 a.神经内科; b.风湿免疫科, 广东 广州 510515;
    2.南方医科大学 护理学院, 广东 广州 510515
  • 收稿日期:2024-08-17 出版日期:2024-12-25 发布日期:2025-01-09
  • 通讯作者: 张晓梅（1980-）,女,广东广州人,硕士研究生,主任护师,科护士长。E-mail：2925611568@qq.com
  • 作者简介:陈坚（1997-）,女,广西北海人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    广东省自然科学基金面上项目（2022A1515012184）

Construction of “Internet +” continuous rehabilitation management program for patients with post-stroke dysphagia

CHEN Jian1a,2, XIANG Li-jun1a, LUO Yan-si1a, CHEN Jian-hui1b, CUI Yan-li1a,2, LIAO Lin1a,2, YAN Ming-yu1a,2, ZHANG Xiao-mei1a   

  1. 1a. Dept. of Neurosurgery; 1b. Dept. of Rheumatology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China
  • Received:2024-08-17 Online:2024-12-25 Published:2025-01-09

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摘要： 目的 构建脑卒中后吞咽障碍患者“互联网+”延续性康复管理方案,为完善患者长期康复提供借鉴。方法 结合文献分析、纵向研究、质性访谈拟定方案初稿,采用德尔菲法对18名专家进行2轮函询,对方案条目进行修改并确定最终方案。结果 2轮专家函询问卷回收率分别为95%、100%;专家权威系数分别为0.928、0.931;第2轮专家函询后,各条目重要性的变异系数为0~0.157;肯德尔和谐系数分别为0.110、0.159（P<0.001）。最终构建的方案包括实施机构、人员配备、关键环节、实施路径4个一级条目、16个二级条目、64个三级条目。结论 本研究构建的延续康复管理方案具有较好的科学性和实用性,对规范脑卒中后吞咽障碍患者的延续护理具有指导意义。

关键词: 脑卒中, 吞咽障碍, 互联网+, 德尔菲法

Abstract: Objective To construct an “Internet +” continuous rehabilitation management program for patients with dysphagia after stroke and to provide reference for enhancing long-term rehabilitation of patients. Methods The draft of the program was formed after literature review, longitudinal study and qualitative interview. Two rounds of consultations were conducted among 18 experts with Delphi method, and the items were modified and the final program was determined. Results The response rate of two rounds of questionnaire was 95% and 100%; expert authority coefficient 0.928 and 0.931, and Kendall harmony coefficient 0.110 and 0.159, respectively, showing statistical significance (P<0.001). The final program consisted of 4 first-level items of implementing agencies, staffing, key procedure, and implementing paths, 16 second-level and 64-third level items. Conclusion The continuous rehabilitation management program constructed in this study is scientific and reliable, which is of guiding significance to standardize the continuous rehabilitation nursing for patients with post-stroke dysphagia.

Key words: stroke, dysphagia, continuous, Delphi method

中图分类号: 

  • R473.74
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