运用德尔菲法构建脑外伤康复医学数据库核心条目
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摘要
目的构建脑外伤康复医学数据库的核心条目。方法在充分查阅有关脑外伤康复文献的基础上,结合已有较为公认的与脑外伤康复密切相关因素,形成脑外伤康复医学数据库相关条目,采用德尔菲法对条目进行两轮专家咨询。结果专家权威系数平均值为0.94,经过两轮问卷确定73个核心条目,其内容包括:一般情况、脑损伤及处置情况、相关康复评定量表、既往康复治疗情况、治疗花费及复评时需要关注的内容。结论经过两轮德尔菲法评价,最终确定了脑外伤康复医学数据库的核心条目,专家认可度和一致性均较高。
Objective To build core items of database for traumatic brain injury(TBI) in rehabilitation medical database. Methods Relevant factors in TBI database were summarized through database search in combination of acknowledged relevant items of TBI in rehabilitation medical database. Delphi method was used for experts to determine which items should be included by two rounds of questionnaires. Results The average authority coefficient of experts was 0.94. After two rounds of questionnaires, 73 were included. Its contents include: general conditions, brain damage and disposal, relevant rehabilitation assessment scales, previous rehabilitation treatment, treatment expenses, and contents that require attention during re-evaluation. Conclusions After two rounds of Delphi evaluation, the core items of database for TBI are identified with high recognition and consistency from experts.
Objective To build core items of database for traumatic brain injury(TBI) in rehabilitation medical database. Methods Relevant factors in TBI database were summarized through database search in combination of acknowledged relevant items of TBI in rehabilitation medical database. Delphi method was used for experts to determine which items should be included by two rounds of questionnaires. Results The average authority coefficient of experts was 0.94. After two rounds of questionnaires, 73 were included. Its contents include: general conditions, brain damage and disposal, relevant rehabilitation assessment scales, previous rehabilitation treatment, treatment expenses, and contents that require attention during re-evaluation. Conclusions After two rounds of Delphi evaluation, the core items of database for TBI are identified with high recognition and consistency from experts.
引文
1励建安.脑外伤康复的现状与未来发展趋势.中国康复医学杂志,2011,26(12):1095-1097.
2Thompson M.Considering the implication of variations within Delphi research.Fam Pract,2009,26(5):420-424.
3Hasson F,Keeney S,McKenna H.Research guidelines for the Delphi survey technique.J Adv Nurs,2000,32(4):1008-1015.
4何宇,杨小丽.基于德尔菲法的精神卫生服务可及性评价指标体系研究.中国全科医学,2018,21(3):322-329.
5宋再伟.应用德尔菲法确定大剂量甲氨蝶呤临床用药指南的临床问题与结局指标.药物流行病学杂志,2018,27(2):134-137.
6彭迎春,王园,常文虎,等.全科医疗质量评价指标体系的研究.中国全科医学,2004,7(3):158-160.
7莫兰.断指再植患者镜像疗法的康复护理方案构建:德尔菲专家咨询法.中国康复医学杂志,2017,32(7):822-825.
8张文玲,朱娓,张明君,等.基于德尔菲法编制护理人员对癌症化疗病人消化道症状管理临床实践活动问卷.护理研究,2018,32(3):411-414.
9肖砾,程玉兰,马昱,等.Delphi法在筛选中国公众健康素养评价指标中的应用研究.中国健康教育,2008,24(2):81-84.
10Cramer CK,Epstein JB,Sheps SB,et al.Modified Delphi survey for decision analysis for prophylaxis of post-radiation osteonecrosis.Oral Oncol,2002,38(6):574-583.
11平卫伟,谭红专.Delphi法的研究进展及其在医学中的应用.疾病控制杂志,2003,7(3):243-246.
12Gallagher RM,Rowell PA.Claiming the future of nursing through nursing-sensitive quality indicators.Nurs Adm Q,2003,27(4):273-284.
13丁晋飞,谈立峰,汤在祥,等.德尔菲法及其在公共卫生领域的应用和展望.环境与职业医学,2012,29(11):727-730.
2Thompson M.Considering the implication of variations within Delphi research.Fam Pract,2009,26(5):420-424.
3Hasson F,Keeney S,McKenna H.Research guidelines for the Delphi survey technique.J Adv Nurs,2000,32(4):1008-1015.
4何宇,杨小丽.基于德尔菲法的精神卫生服务可及性评价指标体系研究.中国全科医学,2018,21(3):322-329.
5宋再伟.应用德尔菲法确定大剂量甲氨蝶呤临床用药指南的临床问题与结局指标.药物流行病学杂志,2018,27(2):134-137.
6彭迎春,王园,常文虎,等.全科医疗质量评价指标体系的研究.中国全科医学,2004,7(3):158-160.
7莫兰.断指再植患者镜像疗法的康复护理方案构建:德尔菲专家咨询法.中国康复医学杂志,2017,32(7):822-825.
8张文玲,朱娓,张明君,等.基于德尔菲法编制护理人员对癌症化疗病人消化道症状管理临床实践活动问卷.护理研究,2018,32(3):411-414.
9肖砾,程玉兰,马昱,等.Delphi法在筛选中国公众健康素养评价指标中的应用研究.中国健康教育,2008,24(2):81-84.
10Cramer CK,Epstein JB,Sheps SB,et al.Modified Delphi survey for decision analysis for prophylaxis of post-radiation osteonecrosis.Oral Oncol,2002,38(6):574-583.
11平卫伟,谭红专.Delphi法的研究进展及其在医学中的应用.疾病控制杂志,2003,7(3):243-246.
12Gallagher RM,Rowell PA.Claiming the future of nursing through nursing-sensitive quality indicators.Nurs Adm Q,2003,27(4):273-284.
13丁晋飞,谈立峰,汤在祥,等.德尔菲法及其在公共卫生领域的应用和展望.环境与职业医学,2012,29(11):727-730.