Development of evidence-based practice protocols for post-stroke insomnia
10.3760/cma.j.cn211501-20231019-00777
- VernacularTitle:脑卒中后失眠循证护理实践方案的构建
- Author:
Xinqi WANG
1
;
Ying ZHU
;
Mengyi CAI
;
Meijie ZHANG
;
Weiying ZHANG
Author Information
1. 同济大学医学院，上海 200092
- Keywords:
Stroke;
Insomnia;
Evidence-based nursing;
Protocol;
Delphi method
- From:
Chinese Journal of Practical Nursing
2024;40(24):1841-1847
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a post-stroke insomnia (PSI) evidence-based nursing practice protocol to provide reference for the implementation of insomnia nursing in stroke patients.Methods:In January 2022, a research team was formed. Based on evidence-based principles, systematically searched and summarized high-quality evidence of Western medicine care and Chinese medicine care related to PSI to develop the first draft of the evidence-based nursing practice protocol for PSI, invited medical experts and nursing experts in the field of stroke care, medical treatment, research and teaching, and the protocol was revised through 2 rounds of Delphi expert consultation to form the final draft of the protocol.Results:A total of 15 experts were invited, 3 males and 12 females; 2 between 31 and 40 years of age, 6 between 41 and 50 years of age, and 7 between 51 and 60 years of age.The positive coefficient for both rounds of expert consultation was 100% and the expert authority coefficient was 0.89; the Kendall coordination coefficients for the importance and feasibility scores of the entries in the 2 rounds expert consultation were 0.188 and 0.146, 0.224 and 0.188 (all P<0.01). The PSI evidence-based nursing practice protocol included 27 entries in 6 dimensions: assessment of sleep quality, diagnosis of PSI, development of an individualized plan, non-pharmacological interventions, Chinese medicine nursing interventions, preparation for discharge and follow-up. Conclusions:The PSI evidence-based nursing practice protocol is scientific, reliable and applicable, and can provide a reference for the nursing practice of PSI patients.
