Li Min, Ji Yu-Gui, Yang Zi-Qing, Xie Hong-Zhen
Department of Trauma Surgery, Chongqing Emergency Medical Center, Chongqing University Central Hospital, Chongqing, China.
Department of Neurosurgery, General Hospital of Southern Theatre Command, Guangzhou, China.
Front Public Health. 2022 Aug 9;10:915472. doi: 10.3389/fpubh.2022.915472. eCollection 2022.
To construct humanistic nursing practice guidelines suitable for stroke patients.
This study was a development and validation study of guidelines using multiple methods, including literature review, qualitative research, questionnaire survey, thematic discussion, and Delphi expert consultation.
Twenty-five experts from seven provinces and municipalities in China were interviewed over two rounds from December 2020 to February 2021. The first-level index was scored for importance and rationality, while the second-level index was scored for importance and feasibility using a five-point Likert scale. Delphi data was collected a paper version of the questionnaire. The coefficients of variation and coordination were used to represent the degree of dispersion of expert opinions.
In the two rounds of letter consultation, the questionnaire's recovery and effective rates were both 100%, while the opinion submission rates of the two rounds were 84 and 52%, respectively. Moreover, the expert authority coefficient was 0.91, and the coordination coefficients of expert opinions in the first round were as follows: importance of 0.03 and rationality of 0.07 for the first-level index; importance of 0.09 and feasibility of 0.11 for the secondary index. In round two, the coordination coefficients of expert opinions were as follows: importance of 0.04 and rationality of 0.05 for the first-level indicators; importance of 0.12 and feasibility of 0.10 for the secondary index. The results for the secondary index were < 0.001 for the two rounds. The humanistic nursing practice guidelines for stroke patients that were ultimately formed included five first-level indicators (physiological care, safety care, emotional care, dignity care, and rehabilitation needs) and 46 s-level indicators.
Our results show that the "Practice Guidelines for Humanistic Nursing for Stroke" established by experts adopts Maslow's hierarchy of needs as its structural framework. It meets people's basic needs and can provide a reference for the construction of a humanistic nursing specialty practice for stroke patients.
Humanistic nursing guidelines for stroke could provide a reference for the construction of humanistic nursing practice in the stroke specialty.
Copeptin and long-term risk of recurrent vascular events after transient ischemic attack and ischemic stroke: population-based study https://pubmed.ncbi.nlm.nih.gov/26451023/. Effectiveness and usage of a decision support system to improve stroke prevention in general practice: a cluster randomized controlled trial https://pubmed.ncbi.nlm.nih.gov/28245247/. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association https://pubmed.ncbi.nlm.nih.gov/27145936/.
构建适用于脑卒中患者的人文护理实践指南。
本研究是一项指南的开发与验证研究，采用了多种方法，包括文献综述、定性研究、问卷调查、专题讨论和德尔菲专家咨询。
2020年12月至2021年2月，对来自中国7个省直辖市的25名专家进行了两轮访谈。一级指标从重要性和合理性方面进行评分，二级指标从重要性和可行性方面采用五点李克特量表进行评分。德尔菲数据通过问卷纸质版收集。变异系数和协调系数用于表示专家意见的离散程度。
两轮函询中，问卷回收率和有效率均为100%，两轮意见提交率分别为84%和52%。此外，专家权威系数为0.91，第一轮专家意见协调系数如下：一级指标重要性为0.03、合理性为0.07；二级指标重要性为0.09、可行性为0.11。第二轮专家意见协调系数如下：一级指标重要性为0.04、合理性为0.05；二级指标重要性为0.12、可行性为0.10。两轮二级指标结果均P<0.001。最终形成的脑卒中患者人文护理实践指南包括5个一级指标（生理护理、安全护理、情感护理、尊严护理和康复需求）和46个二级指标。
我们的结果表明，专家制定的《脑卒中人文护理实践指南》采用马斯洛需求层次理论作为结构框架。它满足了人们的基本需求，可为脑卒中患者人文护理专科实践建设提供参考。
脑卒中人文护理指南可为脑卒中专科人文护理实践建设提供参考。
copeptin与短暂性脑缺血发作和缺血性脑卒中后复发性血管事件的长期风险：基于人群的研究https://pubmed.ncbi.nlm.nih.gov/26451023/。决策支持系统改善全科医疗中脑卒中预防的有效性和应用：一项整群随机对照试验https://pubmed.ncbi.nlm.nih.gov/28245247/。成人脑卒中康复与恢复指南：美国心脏协会/美国脑卒中协会给医疗专业人员的指南https://pubmed.ncbi.nlm.nih.gov/27145936/。
