Construction of the evaluation indicator system of self-health management ability for elderly with multiple chronic conditions
10.3760/cma.j.cn371468-20250528-00242
- VernacularTitle:老年慢性病共病人群自我健康管理能力评价指标体系构建
- Author:
Guihao LIU
1
;
Mengting LI
;
Yunlian XUE
Author Information
1. 南方医科大学附属广东省人民医院（广东省医学科学院），广州 510080
- Publication Type:Journal Article
- Keywords:
Non-communicable chronic disease;
Comorbidity;
Health management;
Self-management;
Indicator system;
Delphi method;
Elderly
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2025;34(8):721-726
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a set of evaluation indicator system of self-health management ability for elderly with multiple chronic conditions.Methods:Indicators were initially screened through literature retrieval to form the framework of evaluation system.The Delphi method was used to conduct two rounds of consultation with 15 experts in relevant fields, and the indicators were optimized by integrating the importance and accessibility scores of indicators as well as expert opinions.SPSS 26.0 software was used to statistically analyze the results of expert consultation, and the effectiveness of the consultation was evaluated by expert positive coefficient, authority coefficient and coordination coefficient.Yaahp 12.0 software was used to construct the hierarchical structure model, and conduct pairwise comparisons of indicators at the same level to form a judgment matrix according to the Saaty 1-9 scaling method. After consistency test, the product method was applied to aggregate and determine the weights of indicators at all levels.Results:The positive coefficients of the two rounds of expert consultation were both 100%, and the expert authority coefficients were 0.825 and 0.856.In the two rounds of assessment, the ICC of importance and accessibility scores of level 2 and level 3 indicators were higher than 0.90 ( P<0.05). Following screening and revision through two rounds of expert consultation, an evaluation indicators system of self-health management ability of elderly with multiple chronic conditions was formed, including 5 first-level indicators, 18 second-level indicators and 40 third-level indicators.The weights of 5 first-level indicators determined by the hierarchical analysis method were as follows: disease management(0.203), lifestyle (0.205), psychological adjustment (0.203), social support(0.200), and self-ability evaluation(0.189). Conclusion:The evaluation indicator system of self-health management ability of elderly with multiple chronic conditions has high reliability and scientificity, and its practical utility will be further examined.
