Construction of different functional graded care programs based on ICF for elderly patients with chronic heart failure
10.3760/cma.j.cn115682-20200317-01861
- VernacularTitle:基于ICF老年慢性心力衰竭患者不同功能分级照护方案的构建
- Author:
Xinzhi TANG
1
;
Zejuan GU
;
Yifan TANG
;
Weiyun WANG
;
Chunhong GAO
Author Information
1. 南京医科大学护理学院 211166
- Keywords:
Chronic heart failure;
Aged;
International Classification of Functioning, Disability and Health;
Delphi method;
Care planning
- From:
Chinese Journal of Modern Nursing
2020;26(32):4443-4449
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the different functional graded care programs for elderly patients with chronic heart failure (CHF) .Methods:In March 2019, convenience sampling was used to select 24 nursing experts from 14 ClassⅢ Grade A hospitals in Northeast, North China, East China, South China, Central China and Northwest China as the subjects of correspondence. Based on the "International Classification of Functioning, Disability and Health" (ICF) , we took the function as the starting point to construct the different functional graded care programs for elderly CHF patients through systematic reviews, expert meeting and expert consultations.Results:In three rounds of questionnaires, the recovery rates were 100.00%, 100.00% and 95.83%; the authority coefficients of experts were 0.912, 0.914 and 0.913; the coordination coefficients were 0.348, 0.451 and 0.752, respectively; the differences were all statistical ( P<0.001) . The finally constructed different functional graded care programs for elderly CHF patients included heart function, respiratory function, water and electrolyte function, energy and drive function, emotional function, skin protection function, sleep function, and activity and participation function, totaling 8 ICF functions, 14 nursing measures and 161 nursing activity. Conclusions:The different functional graded care programs for CHF patients is comprehensive and systematic, which can not only improve nurses' nursing decision-making, standardize nursing behaviors, but also can be dynamically adjusted. It is scientific and feasible, and can satisfy the individualized and differentiated care demands of CHF patients with impaired function in different disease stages. At the same time, it also provides a theoretical framework for the future development of nursing information systems.
