Construction of occupational therapy core items oriented by life return for stroke patients_West China Medical Journal

Authors：

WANG Fengyi ^1,2 , MA Xichao ^1,2 , LIU Shaxin ^1,2 , WEI Quan ^1,2 ,  YANG Yonghong ^1,2

1. Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YANG Yonghong, Email: nicole308@126.com

Keywords：

Delphi method; Stroke; Occupational therapy; Life return; Core items

DOI：

10.7507/1002-0179.202004467

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Objective To construct the occupational therapy core items oriented by life return for stroke patients, and provide a reliable tool to promote the comprehensive rehabilitation and successful return for stroke patients.Methods From January to February 2020, the primary items were summarized through literature analysis and research group discussion, and then Delphi method was used to determine which items should be included by two rounds of experts consultation.Results A total of 22 experts were selected. After two rounds of experts consultation, 60 items in 6 domains were included. The effective recovery rates of the two rounds of experts consultation were both 100%, the mean expert authority coefficient was 0.87±0.54. In the two rounds of experts consultation, the importance scores of consulted items were 7.60±0.97 and 8.06±0.35, respectively; the variation coefficients were 0.14±0.05 and 0.11±0.03, respectively; the Kendall coefficients of concordance were 0.522 (P<0.001) and 0.578 (P<0.001), respectively.Conclusion Through the Delphi method, the core items oriented by life return are identified with high recognition and consistency from experts, which can be used as a guideline tool for stroke patients in in-hospital occupational therapy, discharge guidance, and community/home rehabilitation.

Citation： WANG Fengyi, MA Xichao, LIU Shaxin, WEI Quan, YANG Yonghong. Construction of occupational therapy core items oriented by life return for stroke patients. West China Medical Journal, 2021, 36(6): 770-775. doi: 10.7507/1002-0179.202004467 Copy

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6.	刘庆英, 荣阳, 荣根满. 青年和中老年脑卒中的相关危险因素及预后与临床研究. 中国医药指南, 2020, 18(8): 147-148.
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8.	何成奇. 烛耀康复梦圆华西−纪念华西医院康复医学科卅周年华诞. 华西医学, 2019, 34(5): 475-480.
9.	李雪, 周谊霞, 李海洋, 等. 基于德尔菲法和优序图法构建血液透析中心护理服务质量评价体系. 华西医学, 2019, 34(7): 783-789.
10.	Thompson M. Considering the implication of variations within Delphi research. Fam Pract, 2009, 26(5): 420-424.
11.	Saust LT, Bjerrum L, Arpi M, et al. Quality indicators for the diagnosis and antibiotic treatment of acute respiratory tract infections in general practice: a RAND appropriateness method. Scand J Prim Health Care, 2017, 35(2): 192-200.
12.	Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs, 2000, 32(4): 1008-1015.
13.	李金艳, 贾秀萍, 邱波, 等. 提高 barthel指数对脑卒中患者生活自理能力的影响. 吉林医学, 2020, 41(2): 433-435.
14.	Asberg KH, Nydevik I. 用ADL的Katz指数早期预测脑卒中的预后. 颜虹, 节译. 国外医学(物理医学与康复学分册), 1993, 13(1): 34-35.
15.	胡国金, 孙秀丽, 张义发, 等. Fugl-Meyer量表在脑卒中镜像治疗中应用及与FIM量表相关性分析. 临床荟萃, 2019, 34(2): 116-119.
16.	谢苏杭, 杨霖, 杨永红, 等. 康复医联体−学科建设新战略. 华西医学, 2019, 34(5): 503-508.
17.	钱旭光, 赵勇, 金炳旭, 等. 基于ICF-CY框架的“医学、教育、家庭与医务社工”四位一体全人康复模式在脑性瘫痪儿童中的应用. 中国康复, 2021, 36(3): 158-161.

1. 孙海欣, 王文志. 中国脑卒中患病率、发病率和死亡率调查结果发表. 中华神经科杂志, 2017, 50(5): 337.
2. 刘芳超, 顾东风. 中国心血管病防治的过去、现在和未来. 心脑血管病防治, 2020, 20(1): 2-4, 17.
3. 刘冰清. 脑卒中病人护理依赖现状与影响因素的调查分析. 全科护理, 2020, 18(10): 1170-1175.
4. 郑艳, 刘冰, 姜峰波, 等. 脑卒中患者生命质量及影响因素分析. 中国社会医学杂志, 2020, 37(1): 46-49.
5. 刘祚燕, 龙纳, 倪碧玉, 等. 脑卒中患者家庭康复综合状况调查研究. 四川大学学报(医学版), 2018, 49(3): 485-489.
6. 刘庆英, 荣阳, 荣根满. 青年和中老年脑卒中的相关危险因素及预后与临床研究. 中国医药指南, 2020, 18(8): 147-148.
7. 崔金龙, 施晓畅, 廖鹏, 等. 作业治疗专业思维在中国的发展历程(1986-2006)−历史文献研究(上). 中国康复理论与实践, 2019, 25(6): 676-682.
8. 何成奇. 烛耀康复梦圆华西−纪念华西医院康复医学科卅周年华诞. 华西医学, 2019, 34(5): 475-480.
9. 李雪, 周谊霞, 李海洋, 等. 基于德尔菲法和优序图法构建血液透析中心护理服务质量评价体系. 华西医学, 2019, 34(7): 783-789.
10. Thompson M. Considering the implication of variations within Delphi research. Fam Pract, 2009, 26(5): 420-424.
11. Saust LT, Bjerrum L, Arpi M, et al. Quality indicators for the diagnosis and antibiotic treatment of acute respiratory tract infections in general practice: a RAND appropriateness method. Scand J Prim Health Care, 2017, 35(2): 192-200.
12. Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs, 2000, 32(4): 1008-1015.
13. 李金艳, 贾秀萍, 邱波, 等. 提高 barthel指数对脑卒中患者生活自理能力的影响. 吉林医学, 2020, 41(2): 433-435.
14. Asberg KH, Nydevik I. 用ADL的Katz指数早期预测脑卒中的预后. 颜虹, 节译. 国外医学(物理医学与康复学分册), 1993, 13(1): 34-35.
15. 胡国金, 孙秀丽, 张义发, 等. Fugl-Meyer量表在脑卒中镜像治疗中应用及与FIM量表相关性分析. 临床荟萃, 2019, 34(2): 116-119.
16. 谢苏杭, 杨霖, 杨永红, 等. 康复医联体−学科建设新战略. 华西医学, 2019, 34(5): 503-508.
17. 钱旭光, 赵勇, 金炳旭, 等. 基于ICF-CY框架的“医学、教育、家庭与医务社工”四位一体全人康复模式在脑性瘫痪儿童中的应用. 中国康复, 2021, 36(3): 158-161.

West China Medical Journal

Construction of occupational therapy core items oriented by life return for stroke patients

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