YANG Juan, JIANG Lingli, WANG Aihua, SHU Haifeng, CHEN Juan, WANG Yonghua. Construction of decision-making aid for rehabilitation training in patients with ischemic stroke[J]. Journal of Clinical Medicine in Practice, 2024, 28(8): 119-122. DOI: 10.7619/jcmp.20240253
Citation: YANG Juan, JIANG Lingli, WANG Aihua, SHU Haifeng, CHEN Juan, WANG Yonghua. Construction of decision-making aid for rehabilitation training in patients with ischemic stroke[J]. Journal of Clinical Medicine in Practice, 2024, 28(8): 119-122. DOI: 10.7619/jcmp.20240253

Construction of decision-making aid for rehabilitation training in patients with ischemic stroke

More Information
  • Received Date: January 15, 2024
  • Revised Date: February 19, 2024
  • Available Online: May 05, 2024
  • Objective 

    To construct a decision-making aid for rehabilitation training in patients with ischemic stroke, providing structured guidance and support for patients'decision-making.

    Methods 

    Based on literature review and semi-structured interviews, a decision-making aid for rehabilitation training in patients with ischemic stroke was initially developed. The Delphi expert consultation method was used to conduct a two-round consultation for 15 experts.

    Results 

    The response rate and effective rate of the questionnaires in the two rounds of expert consultation were both 100%, indicating a high enthusiasm among the experts; the authority coefficients of the experts in the two rounds of consultation were 0.88 and 0.89, respectively, indicating a high level of expert authority; the Kendall's W coefficients of concordance in the two rounds of expert consultation were 0.298 and 0.398, respectively(P < 0.001), indicating a high degree of consistency among expert opinions. The final decision-making aid for rehabilitation training in patients with ischemic stroke included 4 primary indicators, 9 secondary indicators, and 25 tertiary indicators.

    Conclusion 

    The decision-making aid for rehabilitation training in patients with ischemic stroke constructed in this study is both scientific and practical, and can help improve the quality of decision-making of patients.

  • [1]
    高一鹭, 王文志. 脑血管病流行病学研究进展[J]. 中华神经科杂志, 2015, 48(4): 337-340. https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=IPFD&filename=ZHYX201403001025&dbname=IPFDLAST2016
    [2]
    STINEAR C M, LANG C E, ZEILER S, et al. Advances and challenges in stroke rehabilitation[J]. Lancet Neurol, 2020, 19(4): 348-360. doi: 10.1016/S1474-4422(19)30415-6
    [3]
    GUGGISBERG A G, KOCH J, HUMMEL F C, et al. Brain networks and their relevance for stroke rehabilitation[J]. Clin Neurophysiol, 2019, 130(7): 1098-1124. doi: 10.1016/j.clinph.2019.04.004
    [4]
    STACEY D, LEWIS K B, SMITH M, et al. Decision aids for people facing health treatment or screening decisions[J]. Cochrane Database Syst Rev, 2024, 1(1): CD001431.
    [5]
    SOUSA D. Validation in qualitative research: general aspects and specificities of the descriptive phenomenological method[J]. Qual Res Psychol, 2014, 11(2): 211-227. doi: 10.1080/14780887.2013.853855
    [6]
    BOREL M C G, LOPES R O P, THOFEHRN M B, et al. Guideline for incorporating the Delphi method in the evaluation of nursing theories[J]. Rev Lat Am Enfermagem, 2021, 29: e3387. doi: 10.1590/1518-8345.4157.3387
    [7]
    柯思思, 朱朝阳, 张刚, 等. 应用德尔菲法构建医院突发公共卫生事件应对能力评价指标体系[J]. 中国社会医学杂志, 2019, 36(6): 643-646. https://www.cnki.com.cn/Article/CJFDTOTAL-GWSY201906025.htm
    [8]
    林润, 陈晓欢, 李文洲, 等. 母乳喂养专科护士核心能力评价指标的构建[J]. 护理学报, 2022, 29(20): 65-69. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL202220011.htm
    [9]
    郭秀花. 医学现场调查技术与统计分析[M]. 北京: 人民卫生出版社, 2009: 115-121.
    [10]
    熊小秀, 李虹霖, 朱丹, 等. 尿道下裂围术期患儿疼痛躁动制动睡眠管理培训指标体系的构建[J]. 军事护理, 2022, 39(10): 72-75. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202210019.htm
    [11]
    曲俊晓, 付秀荣. 手术室泌尿亚专科护理质量评价指标体系的构建[J]. 护理研究, 2022, 36(22): 4007-4012. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202222034.htm
    [12]
    陈媛, 侯桂华, 韩琼, 等. 基于泰勒模式的心脏康复护士培训体系的构建[J]. 中华护理杂志, 2022, 57(20): 2514-2521. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202220012.htm
    [13]
    中华医学会神经病学分会, 中华医学会神经病学分会神经康复学组, 中华医学会神经病学分会脑血管病学组. 中国脑卒中早期康复治疗指南[J]. 中华神经科杂志, 2017, 50(6): 405-412.
    [14]
    史方竹. 共享决策干预在首发缺血性脑卒中患者中的应用[D]. 太原: 山西医科大学, 2022.
  • Related Articles

    [1]XIANG Mingfei, LIU Yingying, YU Mingjie. Correlations of serum calcium, 25-hydroxyvitamin D and uric acid levels with benign paroxysmal positional vertigo[J]. Journal of Clinical Medicine in Practice, 2024, 28(19): 118-122. DOI: 10.7619/jcmp.20241444
    [2]ZHANG Chenchen, LIU Yanling. Values of the Acute Physiology and Chronic Health Evaluation Ⅱ score combined with serum glycated hemoglobin and lactate dehydrogenase in evaluating the severity and prognosis of patients with acute pancreatitis[J]. Journal of Clinical Medicine in Practice, 2024, 28(17): 62-67. DOI: 10.7619/jcmp.20240043
    [3]HAO Yuqing, SUN Yu, WANG Qiaogai. Changes of serum homocysteine, lactate dehydrogenase and interleukin-17 levels in acute leukemia and their significance[J]. Journal of Clinical Medicine in Practice, 2024, 28(15): 115-119. DOI: 10.7619/jcmp.20241033
    [4]WAN Jiangwei, CHENG Dongru, WANG Tao, GAO Ping. Value of serum lactate dehydrogenase, β2 microglobulin and ferritin combined with modified WHO-based Prognostic Scoring System in predicting poor prognosis of myelodysplastic syndrome[J]. Journal of Clinical Medicine in Practice, 2024, 28(5): 79-84. DOI: 10.7619/jcmp.20233107
    [5]LEI Xiaoming, XUE Mengzhou, XIA Bin, LI Jing, GUO Pingping. Correlations of serum 25-hydroxyvitamin D and adiponectin with cognitive function in patients with white matter lesions[J]. Journal of Clinical Medicine in Practice, 2022, 26(19): 33-37. DOI: 10.7619/jcmp.20221686
    [6]LU Zhenhui, GUO Xiaoming, LI Xinling, CAO Zhiyong, ZHU Lianha, ZHU Xiangyang. Effect of serum 25-hydroxyvitamin D3 level on cognitive function after stroke in elderly patients with first-episode cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2021, 25(17): 61-66. DOI: 10.7619/jcmp.20211950
    [7]DU Kaixian, HU Huihui, LI Lin, DONG Yan, GUAN Jing, SONG Chunlan, BAI Yanmin, KONG Lina, JIA Tianming. Value of fibronectin, vascular endothelial growth factor and lactate dehydrogenas levels in cerebrospinal fluid in diagnosing bacterial meningitis and viral encephalitis in children[J]. Journal of Clinical Medicine in Practice, 2021, 25(11): 26-30. DOI: 10.7619/jcmp.20210272
    [8]ZHANG Cuijun, SHI Li, SHENG Yulu. Investigation on serum 25-hydroxy-vitamin D levels in 4 013 pregnant women in middle or late stages[J]. Journal of Clinical Medicine in Practice, 2020, 24(22): 120-123. DOI: 10.7619/jcmp.202022035
    [9]LIU Xiaoxia, GONG Nini. Changes of serum 25-hydroxyvitamin D in patients with hypertension during pregnancy and its clinical significance[J]. Journal of Clinical Medicine in Practice, 2020, 24(9): 66-68. DOI: 10.7619/jcmp.202009019
    [10]XU Daxing, LI Sen, LI Yanjie, CHEN Linlin, WU Hao. Changes and significance of lactate dehydrogenase, adenosine deaminase and tumor necrosis factor-α in cerebrospinal fluid of patients with viral meningitis[J]. Journal of Clinical Medicine in Practice, 2016, (24): 26-28. DOI: 10.7619/jcmp.201624007
  • Cited by

    Periodical cited type(11)

    1. 朱丹,刘采连. 肝郁气滞型持续性姿势-感知性头晕患者运用柴胡疏肝散的疗效研究. 中外医学研究. 2025(06): 107-110 .
    2. 郭甜甜,彭壮,付晓芳. 逍遥解郁方联合前庭康复训练治疗持续性姿势-知觉性头晕临床观察. 实用中医药杂志. 2024(01): 39-41 .
    3. 张俊红,王丽,郑银燕,张佰景,张俊梅. 低频经颅磁刺激联合前庭康复训练治疗持续性姿势-感知性头晕的疗效观察. 中华物理医学与康复杂志. 2024(04): 317-321 .
    4. 史林娟,赵蕾,孙文青,宋红娜. 前庭康复训练联合艾司西酞普兰片治疗持续性姿势知觉性头晕的疗效. 慢性病学杂志. 2024(10): 1504-1506+1510 .
    5. 徐金凤,魏辰鸿,汪毅明,杨建波,魏建刚,张倩,林晓静,张小宁. 前庭康复训练法治疗中重度持续性姿势-感知性头晕的临床疗效分析. 中国临床神经科学. 2023(01): 43-48 .
    6. 贾云朋,王彩娟,纪朋曼,曹俊英,孟曙龙,田丹丹,赵扬,杨静棉. 灯银脑通胶囊治疗持续性姿势感知性头晕的作用机制研究. 世界中西医结合杂志. 2023(06): 1242-1245+1256 .
    7. 时钦,江炜炜,唐睩,刘红星,李峰,张丽. 草酸艾司西酞普兰配合视觉脱敏训练治疗老年持续性姿势-知觉性头晕的效果. 医学研究与战创伤救治. 2023(11): 1182-1187 .
    8. 马小琦. 持续性姿势知觉性头晕患者睡眠障碍与认知功能障碍相关性研究. 中国实用医药. 2022(04): 73-75 .
    9. 李锋森,孟毅,乔明亮,成家宏. 前庭康复训练联合药物疗法治疗持续性姿势-知觉性头晕的Meta分析. 神经损伤与功能重建. 2022(05): 264-268+306 .
    10. 张芳,俞晔,罗春香,杨敏,黄志英. 前庭康复训练应用于持续性姿势-知觉性头晕患者的临床研究. 中国医学创新. 2022(20): 150-153 .
    11. 钟伟森,张运如. 中医定向透药联合耳穴压豆治疗老年眩晕病的临床观察. 中医外治杂志. 2022(02): 19-21 .

    Other cited types(5)

Catalog

    Article views (116) PDF downloads (7) Cited by(16)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return