基于循证构建住院患者跌倒管理模型的研究

发布时间：2018-06-16 02:35

本文选题：跌倒 + 预防策略　；参考：《浙江大学》2014年硕士论文

【摘要】：目的：本研究旨在通过循证的方法建立一个科学、客观、全面的跌倒管理模型；找出适合目前我国跌倒管理更为有效的干预措施,为临床跌倒管理提供更具科学性、客观性的指导建议,提高预防住院患者跌倒的实效。方法：本研究在查阅文献的基础上,在循证理论的指导下,通过系统评价和文献内容分析,收集与住院患者跌倒预防相关的证据,通过小组讨论初步构建一个跌倒的管理模型,并采用德尔菲法对管理模型内的各预防策略进行本土化,最终得出浙江省跌倒管理模型的预防策略。并运用专家积极系数、权威系数、变异系数、协调系数等指标,对专家咨询的可靠性和代表性进行检验。结果：构建了包含评估、计划、干预、管理四部分内容的54项预防策略的跌倒管理模型。2轮专家咨询的积极系数分别为93.75%和100%,专家的权威系数分别为0.86和0.86(0.7),2轮专家咨询后各项预防策略重要性的变异系数为0.00-0.24,可操作性变异系数为0.04-0.30。结论：构建了一个包含4个维度54项预防策略的浙江省跌倒管理模型,确立了各项预防策略的循证等级和质量。专家咨询的积极系数、权威系数、变异系数等结果证明专家咨询代表性和可信度高。
[Abstract]:Objective: the purpose of this study was to establish a scientific, objective and comprehensive fall management model by evidence-based method, to find out more effective intervention measures suitable for the management of falls in China, and to provide a more scientific method for clinical management of falls. Objective guidance and suggestions to improve the effectiveness of prevention of falls of inpatients. Methods: on the basis of literature review and under the guidance of evidence-based theory, the study collected the evidence related to the prevention of falls of hospitalized patients through systematic evaluation and literature content analysis. Through group discussion, a fall management model was constructed, and various prevention strategies in the management model were localized by Delphi method. Finally, the prevention strategies of the fall management model in Zhejiang Province were obtained. The reliability and representativeness of expert consultation are tested by using expert positive coefficient, authority coefficient, variation coefficient, coordination coefficient and so on. Results: constructed to include evaluation, planning, intervention, Fall management model of 54 prevention strategies in four parts: the positive coefficient of expert consultation round .2 is 93.75% and 100 respectively, and the authority coefficient of experts is 0.86 and 0.86 respectively. The number is 0.00-0.24, and the coefficient of variation is 0.04-0.30. Conclusion: a fall management model with 54 items in four dimensions was constructed in Zhejiang Province, and the evidence-based grades and quality of the prevention strategies were established. The positive coefficient, authority coefficient and variation coefficient of expert consultation prove that expert consultation is representative and reliable.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R47

【参考文献】