Exploration of Establishing Evaluation Indicators for Hand Trauma Rehabilitation Nursing Based on Delphi Method.

IF 0.9 4区医学 Q3 SURGERY Annali italiani di chirurgia Pub Date : 2024-01-01 DOI:10.62713/aic.3627

Yuehong Zhang, Su Zhong, Chunyan Jiang, Xuanchen Chen, Hui Luo, Xiarong Wang, Chunmei Xue

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Abstract

Aim: This study aimed to develop an evaluation index system for hand surgery rehabilitation nursing using the Delphi method.

Method: A survey questionnaire on evaluation indicators for hand surgery rehabilitation nursing was developed, and 18 professionals including orthopedic surgeons, orthopedic nursing, and rehabilitation departments were selected. The survey was conducted using the letter method, and a database was established to screen the items, forming a hand surgery rehabilitation nursing evaluation scale. The expert's positive coefficient, authority coefficient, and coordination coefficient were analyzed, and the mean, standard deviation, coefficient of variation, and weight coefficient were calculated. Based on the correlation assignment results, the Item-level Content Validity Index (I-CVI), Scale-level Content Validity Index (S-CVI), average S-CVI, Probability of random consistency (Pc), and corrected I-CVI Kendall's coefficient of concordance (K*) were determined.

Result: In the first round of expert inquiry, a total of 18 questionnaires were distributed, and 15 valid questionnaires were collected, with an effective response rate of 83.33%. In the second round, 15 questionnaires were distributed and 15 valid questionnaires were collected, with an effective response rate of 100%. The two rounds of expert evaluations yielded judgment scores of 0.91 and 0.95, with proficiency levels of 0.83 and 0.87 and authority coefficients of 0.87 and 0.91, respectively. The Kendall's W values for the two rounds were 0.313 and 0.224, respectively, with a statistically significant difference (p < 0.01). After screening, 23 indicators were retained, with a coefficient of variation ranging from 0.072 to 0.166. Among the third-level indicators, 12 had an I-CVI of 1.00, 4 had an I-CVI of 0.93, and 7 had an I-CVI of 0.87. The overall S-CVI was 0.80, with an average S-CVI of 0.95. The K* values for the 23 indicators ranged from 0.8662 to 1.0000.

Conclusions: The evaluation index system for hand injury rehabilitation nursing based on the Delphi method is highly scientific, and is expected to be used to guide the clinical evaluation of hand injury rehabilitation nursing.

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基于德尔菲法的手部创伤康复护理评价指标的建立探讨。

目的：本研究旨在采用德尔菲法制定手外科康复护理评价指标体系：制定手外科康复护理评价指标调查问卷，选取骨科医生、骨科护理、康复科等18名专业人员进行调查。采用信函法进行调查，建立数据库筛选项目，形成手外科康复护理评价量表。分析专家肯定系数、权威系数、协调系数，计算均值、标准差、变异系数、权重系数。根据相关赋值结果，确定了项目级内容效度指数（I-CVI）、量表级内容效度指数（S-CVI）、平均 S-CVI、随机一致性概率（Pc）和校正 I-CVI Kendall 一致性系数（K*）：第一轮专家调查共发放问卷 18 份，回收有效问卷 15 份，有效回收率为 83.33%。第二轮共发放问卷 15 份，回收有效问卷 15 份，有效回收率为 100%。两轮专家评价的判断得分分别为 0.91 和 0.95，熟练程度分别为 0.83 和 0.87，权威系数分别为 0.87 和 0.91。两轮的 Kendall's W 值分别为 0.313 和 0.224，差异有统计学意义（P < 0.01）。经过筛选，保留了 23 个指标，变异系数在 0.072 至 0.166 之间。在三级指标中，12 个指标的 I-CVI 为 1.00，4 个指标的 I-CVI 为 0.93，7 个指标的 I-CVI 为 0.87。总体 S-CVI 为 0.80，平均 S-CVI 为 0.95。23 项指标的 K* 值介于 0.8662 至 1.0000 之间：基于德尔菲法的手外伤康复护理评价指标体系具有较强的科学性，有望用于指导手外伤康复护理的临床评价。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.