在长期护理中建立标准类别的康复方法:德尔菲共识研究
Shigehito Shiota1, Kohei Yoshikawa1, Makoto Asaeda1
1Division of Clinical Support, Department of Rehabilitation, Hiroshima University Hospital, Hiroshima, Japan.
Progress in rehabilitation medicine
|June 26, 2025
概括
用Delphi调查建立了长期护理的标准化康复类别. 这种共识为在康复机构中提供一致和适当的患者护理提供了基础.
科学领域:
- 老年学是指老年学的学科.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 标准化术语对于长期护理机构的有效康复至关重要.
- 现有的康复方法缺乏一致的分类,阻碍了基于证据的实践和跨学科沟通.
研究的目的:
- 为长期护理中的康复方法建立标准化类别.
- 通过专家的共识来评估这些类别的适当性.
主要方法:
- 采用了Delphi方法,结合了RAND/UCLA适当性方法.
- 一个由15名康复专家组成的多学科小组参加了三轮调查.
- 开发了一个由10个主要类别和58个子类别组成的问卷,并在利克特级别上进行评分.
主要成果:
- 所有15位专家都参加了三个Delphi轮.
- 最初的轮回确定了缺乏协议的类别,这些类别在随后的轮回中得到了改进.
- 经过修订后,所有类别的"适当"和"协议"都达成了共识.
结论:
- 在长期护理康复方法的标准化术语上达成共识.
- 确定的类别为一致的康复实践提供了基础.
- 未来的研究应该使用临床数据验证这些类别.
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