Construction of discharge readiness assessment index for elderly patients after hip fracture surgery
10.3760/cma.j.cn115682-20230904-00879
- VernacularTitle:老年髋部骨折患者术后出院准备度评估指标的构建
- Author:
Shan LI
1
;
Jie SONG
;
Mi SONG
;
Chen QIU
;
Yuan GAO
Author Information
1. 解放军医学院研究生院，北京 100853
- Keywords:
Aged;
Hip fracture;
Discharge readiness;
Index construction;
Delphi method
- From:
Chinese Journal of Modern Nursing
2024;30(6):707-712
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an evaluation index of discharge readiness suitable for elderly patients after hip fracture surgery in China, so as to provide a basis for the implementation of discharge readiness services for elderly patients after hip fracture surgery.Methods:From January 2018 to March 2023, a preliminary version of the discharge readiness evaluation indicators for elderly patients with hip fracture was constructed through literature search and semi-structured interviews. From April to May 2023, the Delphi method was used to select 19 experts from the medical and nursing fields to conduct two rounds of expert inquiries on various indicators. The final version of the discharge preparation evaluation indicators for elderly hip fracture patients was constructed through indicator screening and modification.Results:Through literature search and reading, 13 literatures were obtained. A total of 101 expert opinions were collected in two rounds of expert consultation, and the participation rate and questionnaire recovery rate of the two rounds of expert consultation were 100.00% (19/19). The judgment coefficient and familiarity coefficient of the two rounds of expert consultation were 0.979 and 0.832, respectively, and the expert authority coefficient were both 0.905.The Kendall's harmony coefficients of the two rounds of expert correspondence were 0.154 and 0.157, respectively ( P<0.01). The final evaluation index of discharge readiness of elderly patients with hip fracture included three primary indexes and 12 secondary indexes. Conclusions:The evaluation index of discharge readiness of elderly patients after hip fracture surgery established in this study is scientific and reliable, providing a basis for accurately assessing discharge readiness of elderly patients after hip fracture surgery.
