Development of an evaluation index system for discharge preparation management in elderly patients with hip fractures
10.3760/cma.j.cn115682-20240916-05126
- VernacularTitle:老年髋部骨折患者出院准备管理指标评价体系的构建
- Author:
Yaping XU
1
;
Qingxia LIU
;
Jiaqi LIU
;
Shizhen ZHAO
;
Yunyang JIA
;
Xuemei LU
Author Information
1. 中日友好医院骨关节外科，北京 100029
- Publication Type:Journal Article
- Keywords:
Aged;
Hip fracture;
Discharge preparation;
Indicator system;
Delphi method;
Nursing management
- From:
Chinese Journal of Modern Nursing
2025;31(21):2882-2888
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop an evaluation index system for discharge preparation management in elderly patients with hip fractures, providing a reference for clinical discharge planning.Methods:Guided by the operational definition of discharge readiness, a preliminary index system was constructed through literature review, semi-structured interviews, and expert group discussions. Using purposeful sampling, 22 experts were recruited for two rounds of expert consultation conducted between July and August 2024. The final index system was established based on expert consensus.Results:The effective response rates for the two Delphi rounds were 95.65% (22/23) and 100.00% (22/22) , respectively. The rates of feedback comments were 77.27% (17/22) and 40.91% (9/22) . The expert authority coefficients were 0.955 and 0.934, and the Kendall's coordination coefficients were 0.129 and 0.104, respectively (both P<0.01) . The final index system consisted of four first-level indicators, 16 second-level indicators, and 39 third-level indicators. Conclusions:The constructed evaluation index system demonstrates good scientific rigor and practical applicability. It can serve as a reference for the discharge preparation management of elderly patients with hip fractures.
