Construction of the frailty risk evaluation index system for patients with maintenance hemodialysis
10.3760/cma.j.cn115682-20220810-03901
- VernacularTitle:维持性血液透析患者衰弱风险评估指标体系的构建
- Author:
Lin ZHANG
1
;
Xin MENG
;
Jie KOU
;
Yuping LI
;
Junkai HU
;
Guihua WANG
;
Xiaohui LIU
Author Information
1. 河南省人民医院血液净化中心 河南省护理医学重点实验室 郑州大学人民医院，郑州 450003
- Keywords:
Dialysis;
Maintenance hemodialysis;
Frailty;
Risk assessment;
System construction
- From:
Chinese Journal of Modern Nursing
2023;29(22):2982-2988
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish an index system for frailty risk assessment of maintenance hemodialysis patients, and scientifically evaluate frailty risk status of maintenance hemodialysis patients.Methods:With the biopsychosocial medical model as the theoretical framework, semi-structured interview method and Delphi expert consultation method were used to establish and screen indicators and analytic hierarchy process was used to determine the weight of indicators, and an indicator system for frailty risk assessment of patients with maintenance hemodialysis was constructed.Results:The effective recovery rates of the two rounds of expert consultation questionnaires were respectively 100.00% (22/22) and 95.45% (21/22), the expert authority coefficients were respectively 0.85 and 0.84, the Kendall's harmony coefficients of the importance of expert opinions were respectively 0.149 and 0.201, and the Kendall's harmony coefficients of the feasibility of expert opinions were respectively 0.134 and 0.175. Finally, the frailty risk evaluation system for maintenance hemodialysis patients was established, including 3 primary indexes, 8 secondary indexes and 36 tertiary indexes.Conclusions:The established frailty risk evaluation index system for patients with maintenance hemodialysis is scientific and practical and comprehensive in content, which can better reflect the specialty characteristics and provide a basis for frailty risk assessment for maintenance hemodialysis patients.
