本文選題：跌倒 + 預(yù)防策略��； 參考：《浙江大學(xué)》2014年碩士論文

【摘要】：目的： 本研究旨在通過循證的方法建立一個科學(xué)、客觀、全面的跌倒管理模型；找出適合目前我國跌倒管理更為有效的干預(yù)措施,為臨床跌倒管理提供更具科學(xué)性、客觀性的指導(dǎo)建議,提高預(yù)防住院患者跌倒的實效。 方法： 本研究在查閱文獻的基礎(chǔ)上,在循證理論的指導(dǎo)下,通過系統(tǒng)評價和文獻內(nèi)容分析,收集與住院患者跌倒預(yù)防相關(guān)的證據(jù),通過小組討論初步構(gòu)建一個跌倒的管理模型,并采用德爾菲法對管理模型內(nèi)的各預(yù)防策略進行本土化,最終得出浙江省跌倒管理模型的預(yù)防策略。并運用專家積極系數(shù)、權(quán)威系數(shù)、變異系數(shù)、協(xié)調(diào)系數(shù)等指標,對專家咨詢的可靠性和代表性進行檢驗。 結(jié)果： 構(gòu)建了包含評估、計劃、干預(yù)、管理四部分內(nèi)容的54項預(yù)防策略的跌倒管理模型。2輪專家咨詢的積極系數(shù)分別為93.75%和100%,專家的權(quán)威系數(shù)分別為0.86和0.86(0.7),2輪專家咨詢后各項預(yù)防策略重要性的變異系數(shù)為0.00-0.24,可操作性變異系數(shù)為0.04-0.30。 結(jié)論： 構(gòu)建了一個包含4個維度54項預(yù)防策略的浙江省跌倒管理模型,確立了各項預(yù)防策略的循證等級和質(zhì)量。專家咨詢的積極系數(shù)、權(quán)威系數(shù)、變異系數(shù)等結(jié)果證明專家咨詢代表性和可信度高。
[Abstract]:Objective: the purpose of this study was to establish a scientific, objective and comprehensive fall management model by evidence-based method, to find out more effective intervention measures suitable for the management of falls in China, and to provide a more scientific method for clinical management of falls. Objective guidance and suggestions to improve the effectiveness of prevention of falls of inpatients. Methods: on the basis of literature review and under the guidance of evidence-based theory, the study collected the evidence related to the prevention of falls of hospitalized patients through systematic evaluation and literature content analysis. Through group discussion, a fall management model was constructed, and various prevention strategies in the management model were localized by Delphi method. Finally, the prevention strategies of the fall management model in Zhejiang Province were obtained. The reliability and representativeness of expert consultation are tested by using expert positive coefficient, authority coefficient, variation coefficient, coordination coefficient and so on. Results: constructed to include evaluation, planning, intervention, Fall management model of 54 prevention strategies in four parts: the positive coefficient of expert consultation round .2 is 93.75% and 100 respectively, and the authority coefficient of experts is 0.86 and 0.86 respectively. The number is 0.00-0.24, and the coefficient of variation is 0.04-0.30. Conclusion: a fall management model with 54 items in four dimensions was constructed in Zhejiang Province, and the evidence-based grades and quality of the prevention strategies were established. The positive coefficient, authority coefficient and variation coefficient of expert consultation prove that expert consultation is representative and reliable.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R47

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