Establishment of evaluation indicators of nutrition care ability for oral feeding by caregivers of patients with post-stroke dysphagia
10.3969/j.issn.1671-8283.2024.11.003
- VernacularTitle:脑卒中后吞咽障碍经口进食患者照顾者营养照护能力评价指标构建
- Author:
Yingji QIAN
1
;
Hong TANG
;
Liting WANG
;
Hongyan CHENG
;
Li YOU
;
Li LI
Author Information
1. 无锡市中心康复医院,江南大学附属精神卫生中心护理部,江苏无锡,214000
- Publication Type:Journal Article
- Keywords:
caregiver;
post-stroke dysphagia;
oral feeding;
nutrition care ability;
evaluation indicator
- From:
Modern Clinical Nursing
2024;23(11):16-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish evaluation indicators of nutrition care ability for carrying out oral feeding by caregivers of patients with post-stroke dysphagia (PSD) so as to provide references for nursing staff in evaluation of the nutritional care ability of caregivers and for the targeted health education. Methods Based on the caregiver skill model proposed by Farran et al,literature review and analysis,semi-structured interview,Delphi expert inquiry,analysis with the Analytic Hierarchy Process and pre-survey were conducted to establish a pool of evaluation indicators for nutrition care ability in carrying out oral feeding by caregivers of patients with PSD and to determine the weights of indicators. Results The two rounds of inquiry questionnaires achieved effective response rates of 90.00％ and 100.00％,respectively. The expert authority coefficients were at 0.869 and 0.910,and the coefficients of variation ranged 0.035 to 0.162 and 0.025 to 0.078 for the first and second rounds. The Kendall coordination coefficients were between 0.205 and 0.276 for the first round and between 0.278 and 0.364 for the second round (P<0.01). Based on expert consultations,the evaluation indicators were finalised,comprising 6 primary indicators and 38 secondary indicators,with consistency coefficients of each level indicator is less than 0.05. The primary indicators consisted of the knowledge of oral feeding nutrition care,attitude of oral feeding nutrition care,care skills,personal qualities of the caregiver,management of own emotions,and management of family and social resources. Conclusion The evaluation indicators for nutrition care ability to carry out oral feeding by caregivers of patients with PSD has been established. They are scientifically sound and rational,with strong practicality,and are able to provide a reference for nursing staff in evaluation of the nutrition care ability of caregivers and the health education.
