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确立长期护理中康复方法的标准类别:德尔菲共识研究

Establishing Standard Categories of Rehabilitation Approaches in Long-term Care: A Delphi Consensus Study.

作者信息

Shiota Shigehito, Yoshikawa Kohei, Asaeda Makoto, Hirata Kazuhiko, Abo Masahiro, Otaka Yohei, Mikami Yasuo, Nishimura Yukihide, Sasaki Nobuyuki, Momosaki Ryo, Niimi Masachika, Kinoshita Shoji, Hada Takuya, Kawasaki Takashi, Nishiyama Kazunari, Nakayama Yasuhide, Shimizu Miho, Kitamura Shin, Mikami Yukio

机构信息

Division of Clinical Support, Department of Rehabilitation, Hiroshima University Hospital, Hiroshima, Japan.

Department of Rehabilitation Medicine, Jikei University School of Medicine, Tokyo, Japan.

出版信息

Prog Rehabil Med. 2025 Jun 25;10:20250016. doi: 10.2490/prm.20250016. eCollection 2025.

Abstract

OBJECTIVES

This study aimed to establish standardized categories of rehabilitation approaches in long-term care and evaluate their appropriateness through a Delphi survey with an expert panel.

METHODS

We adopted the Delphi method using the RAND/UCLA Appropriateness Method. A panel of 15 multidisciplinary rehabilitation experts comprising physicians, physical therapists, occupational therapists, and speech-language-hearing therapists was established. We developed a questionnaire comprising 10 main categories and 58 subcategories based on the glossary review and cross-sectional survey. Panelists rated the categories on a Likert scale from 1 (extremely inappropriate) to 9 (extremely appropriate). The survey was repeated until all categories reached a consensus on "appropriate" and "agreement."

RESULTS

All 15 panelists participated in three rounds of the Delphi survey. In the first round, although all categories were deemed "appropriate," one main category and six subcategories did not achieve "agreement." In the second round, all categories reached the status of "appropriate" and "agreement." However, some of the comments needed further consideration. After making minor revisions, all items ultimately reached the status of "appropriate" and "agreement."

CONCLUSIONS

This study achieved consensus on the terminology for standardized categories of rehabilitation approaches in long-term care. Future research should assess their reliability and validity using real-world clinical data.

摘要

目的

本研究旨在建立长期护理中康复方法的标准化类别,并通过与专家小组进行德尔菲调查来评估其适用性。

方法

我们采用了基于兰德/加州大学洛杉矶分校适用性方法的德尔菲法。成立了一个由15名多学科康复专家组成的小组,成员包括医生、物理治疗师、职业治疗师和言语语言听力治疗师。我们根据词汇审查和横断面调查编制了一份包含10个主要类别和58个子类别的问卷。小组成员根据李克特量表对这些类别进行评分,从1(极不适用)到9(极适用)。该调查重复进行,直到所有类别在“适用”和“一致”方面达成共识。

结果

所有15名小组成员都参与了三轮德尔菲调查。在第一轮中,尽管所有类别都被认为“适用”,但有一个主要类别和六个子类别未达成“一致”。在第二轮中,所有类别都达到了“适用”和“一致”的状态。然而,一些意见需要进一步考虑。经过小幅修订后,所有项目最终都达到了“适用”和“一致”的状态。

结论

本研究在长期护理中康复方法标准化类别的术语方面达成了共识。未来的研究应使用实际临床数据评估其可靠性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa7b/12185881/b5ae548807d6/prm-10-20250016-g001.jpg

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