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

1.	孫海欣, 王文志. 中國腦卒中患病率、發病率和死亡率調查結果發表. 中華神經科雜志, 2017, 50(5): 337.
2.	劉芳超, 顧東風. 中國心血管病防治的過去、現在和未來. 心腦血管病防治, 2020, 20(1): 2-4, 17.
3.	劉冰清. 腦卒中病人護理依賴現狀與影響因素的調查分析. 全科護理, 2020, 18(10): 1170-1175.
4.	鄭艷, 劉冰, 姜峰波, 等. 腦卒中患者生命質量及影響因素分析. 中國社會醫學雜志, 2020, 37(1): 46-49.
5.	劉祚燕, 龍納, 倪碧玉, 等. 腦卒中患者家庭康復綜合狀況調查研究. 四川大學學報(醫學版), 2018, 49(3): 485-489.
6.	劉慶英, 榮陽, 榮根滿. 青年和中老年腦卒中的相關危險因素及預后與臨床研究. 中國醫藥指南, 2020, 18(8): 147-148.
7.	崔金龍, 施曉暢, 廖鵬, 等. 作業治療專業思維在中國的發展歷程(1986-2006)?歷史文獻研究(上). 中國康復理論與實踐, 2019, 25(6): 676-682.
8.	何成奇. 燭耀康復夢圓華西?紀念華西醫院康復醫學科卅周年華誕. 華西醫學, 2019, 34(5): 475-480.
9.	李雪, 周誼霞, 李海洋, 等. 基于德爾菲法和優序圖法構建血液透析中心護理服務質量評價體系. 華西醫學, 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.	李金艷, 賈秀萍, 邱波, 等. 提高 barthel指數對腦卒中患者生活自理能力的影響. 吉林醫學, 2020, 41(2): 433-435.
14.	Asberg KH, Nydevik I. 用ADL的Katz指數早期預測腦卒中的預后. 顏虹, 節譯. 國外醫學(物理醫學與康復學分冊), 1993, 13(1): 34-35.
15.	胡國金, 孫秀麗, 張義發, 等. Fugl-Meyer量表在腦卒中鏡像治療中應用及與FIM量表相關性分析. 臨床薈萃, 2019, 34(2): 116-119.
16.	謝蘇杭, 楊霖, 楊永紅, 等. 康復醫聯體?學科建設新戰略. 華西醫學, 2019, 34(5): 503-508.
17.	錢旭光, 趙勇, 金炳旭, 等. 基于ICF-CY框架的“醫學、教育、家庭與醫務社工”四位一體全人康復模式在腦性癱瘓兒童中的應用. 中國康復, 2021, 36(3): 158-161.

1. 孫海欣, 王文志. 中國腦卒中患病率、發病率和死亡率調查結果發表. 中華神經科雜志, 2017, 50(5): 337.
2. 劉芳超, 顧東風. 中國心血管病防治的過去、現在和未來. 心腦血管病防治, 2020, 20(1): 2-4, 17.
3. 劉冰清. 腦卒中病人護理依賴現狀與影響因素的調查分析. 全科護理, 2020, 18(10): 1170-1175.
4. 鄭艷, 劉冰, 姜峰波, 等. 腦卒中患者生命質量及影響因素分析. 中國社會醫學雜志, 2020, 37(1): 46-49.
5. 劉祚燕, 龍納, 倪碧玉, 等. 腦卒中患者家庭康復綜合狀況調查研究. 四川大學學報(醫學版), 2018, 49(3): 485-489.
6. 劉慶英, 榮陽, 榮根滿. 青年和中老年腦卒中的相關危險因素及預后與臨床研究. 中國醫藥指南, 2020, 18(8): 147-148.
7. 崔金龍, 施曉暢, 廖鵬, 等. 作業治療專業思維在中國的發展歷程(1986-2006)?歷史文獻研究(上). 中國康復理論與實踐, 2019, 25(6): 676-682.
8. 何成奇. 燭耀康復夢圓華西?紀念華西醫院康復醫學科卅周年華誕. 華西醫學, 2019, 34(5): 475-480.
9. 李雪, 周誼霞, 李海洋, 等. 基于德爾菲法和優序圖法構建血液透析中心護理服務質量評價體系. 華西醫學, 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. 李金艷, 賈秀萍, 邱波, 等. 提高 barthel指數對腦卒中患者生活自理能力的影響. 吉林醫學, 2020, 41(2): 433-435.
14. Asberg KH, Nydevik I. 用ADL的Katz指數早期預測腦卒中的預后. 顏虹, 節譯. 國外醫學(物理醫學與康復學分冊), 1993, 13(1): 34-35.
15. 胡國金, 孫秀麗, 張義發, 等. Fugl-Meyer量表在腦卒中鏡像治療中應用及與FIM量表相關性分析. 臨床薈萃, 2019, 34(2): 116-119.
16. 謝蘇杭, 楊霖, 楊永紅, 等. 康復醫聯體?學科建設新戰略. 華西醫學, 2019, 34(5): 503-508.
17. 錢旭光, 趙勇, 金炳旭, 等. 基于ICF-CY框架的“醫學、教育、家庭與醫務社工”四位一體全人康復模式在腦性癱瘓兒童中的應用. 中國康復, 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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