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目的确定护理院失能老年人长期照护需求评估指标。方法基于文献研究、半结构式访谈以及专家座谈初步拟订评估指标,采用德尔菲法,经过2轮对23名专家的函询确定护理院失能老年人长期照护需求评估指标。结果 2轮专家函询问卷的有效回收率分别为74.19%和95.65%,专家的权威系数分别为0.850和0.905,第2轮函询中,一、二级指标专家意见协调系数分别为0.600和0.269(P<0.001)。最终确立护理院失能老年人长期照护需求评估指标包含5个一级指标,40个二级指标。结论护理院失能老年人长期照护需求评估指标可靠、科学,可为进一步制订护理院失能老年人长期照护内容、提高长期照护质量提供参考依据。
Objective To determine the long-term care needs assessment criteria for disabled seniors in nursing homes. Methods Based on the literature review, semi-structured interviews and expert discussions, the evaluation indexes were preliminarily formulated. The Delphi method was used to determine the long-term care needs assessment index for the elderly with disabilities in nursing home after 2 rounds of interrogation by 23 experts. Results The effective recovery rates of two rounds of expert questionnaires were 74.19% and 95.65% respectively, and the experts’ authority coefficients were 0.850 and 0.905 respectively. In the second round of interviews, the coordination coefficients of experts with first- and second-level indicators were 0.600 and 0.269, respectively (P <0.001). The assessment index of long-term care needs of the elders who failed to establish the nursing home finally includes five first-level indicators and 40 second-level indicators. Conclusion The assessment index of long-term care needs for elders with disabilities in nursing homes is reliable and scientific, which can provide reference for further development of long-term care of elders with disabilities and improvement of long-term care quality.