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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (22): 69-73.doi: 10.16460/j.issn1008-9969.2022.22.069

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Development of Comprehensive Geriatric Assessment Indicator System Based on Omaha System

CHENG Wei1a, CHENG Lei2, DAI Xi-hua1b, CHEN Yu-ping1c   

  1. 1a. Dept. of Respiratory and Critical Care Medicine; 1b. Dept. of Cardiovascular Medicine; 1c. Dept. of Nursing Administration, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China;
    2. School of Nursing, Guangzhou Medical University, Guangzhou 511436, China
  • Received:2022-05-23 Online:2022-11-25 Published:2022-12-07

Abstract: Objective To develop a feasible comprehensive geriatric assessment indicator system for hospitalized elderly inpatients. Methods On the basis of Omaha system, a comprehensive geriatric assessment indicator system was developed after literature review, clinical survey and expert interview. Two rounds of Delphi consultation were performed in 15 experts in geriatric nursing. Results The effective recovery rate of the two rounds of expert consultation was 100%, and 93% respectively, and expert authority coefficient 0.845. After two rounds expert consultation, Kendall’s W of first-level, second-level and third-level indicators was 0.272,0.204, and 0.207 respectively(P<0.01). The final developed comprehensive geriatric assessment indicator system included 4 first-level, 22 secondary-level and 125 third-level indicators. Conclusion With high enthusiasm and authority and good concordance of experts, the comprehensive geriatric assessment indicator system could be used as a tool to comprehensively evaluate the elderly inpatients.

Key words: comprehensive geriatric assessment, Omaha system, nursing problem

CLC Number: 

  • R473.59
[1] 黄金月,夏海鸥.高级护理实践[M]. 3版. 北京:人民卫生出版社, 2018:117-125.
[2] 姚冲华,曾洁,王红玉,等. 基于奥马哈问题分类系统的社区老年糖尿病足患者居家访视评估表单构建[J]. 上海护理,2021,21(9):49-52.
[3] 胡梦晶,刘娜,朱雪娇. 奥马哈系统在护理教育实践中的应用进展[J]. 护理学报,2014,21(12):12-14. DOI:10.16460/j.issn1008-9969.2014.12.001.
[4] Lizarondo L.Hospitalized Older Adults:Comprehensive Geriatric Assessment[R]. Adelaide: Joanna Briggs Institute, 2018.
[5] 中国老年保健医学研究会老龄健康服务与标准化分会,北京老年医院,北京市老年健康服务指导中心,等.医疗服务机构老年综合评估基本标准与服务规范(试行)[J]. 中国老年保健医学,2018,16(3):3-10.
[6] 邹翼霜. 基于循证和德尔菲法构建成人危重患者院内转运规范的研究[D]. 杭州:浙江大学,2017.
[7] 何超,李萌,李婷婷,等. 多目标综合评价中四种确定权重方法的比较与分析[J]. 湖北大学学报(自然科学版),2016,38(2):172-178.DOI:10.3969/j.issn.1000-2375.2016.02.015.
[8] 李银河. 社会研究方法[M]. 成都:四川人民出版社,1987:17-100.
[9] Lopez V.Critical Care Nursing Research Priorities in Hong Kong[J]. J Adv Nurs, 2010,43(6):578-587. DOI:10.1046/j.1365-2648.2003.02756.x.
[10] 关勋强,李瑞兴,刘运成. 医学研究生教育评价研究与实践[M]. 北京:军事医学科学出版社,2000:86.
[11] 李希琳,张琰,陶艳玲,等. 基于决策评价导向模型构建广东省护理学本科毕业实习基地评价指标体系的研究[J]. 护理学报,2020,27(18):15-20. DOI: 10.16460/j.issn1008-9969.2020.18.015.
[12] 路明惠,柳国芳,李淑嫒,等. 老年患者急诊就诊综合评估及管理[J]. 护理学报,2016,23(16):26-28. DOI: 10.16460/j.issn1008-9969.2016.16.026.
[13] 段永丽,李伦兰,李贞. 老年综合评估在脑梗死恢复期患者康复中的应用效果[J]. 中国老年学杂志,2017,37(18):4530-4532. DOI: 10.3969/j.issn.1005-9202.2017.18.044.
[14] 张霞,汪必会,陈善萍,等. 老年综合评估对围术期老年病人发生术后不良事件的预测效能[J]. 护理研究,2017,31(11):1305-1310.DOI:10.3969/j.issn.1009-6493.2017.11.008.
[15] 王国庆,赖小星. 国际居民评估工具长期照护机构评估和干预对老年慢性病患者生活质量和自护能力的影响[J]. 解放军护理杂志,2017,34(12):27-30. DOI: 10.3969/j.issn.1008-9993.2017.12.006.
[16] Gurland B, Kuriansky J, Sharpe L, et al.The Comprehensive Assessment and Referral Evaluation (CARE): Rationale,Development and Reliability[J]. Int J Aging Hum Dev,1978,8(1):9-42.DOI:10.2190/CL3J-0E20-97XX-MV5L.
[17] 中华人民共和国中央人民政府. 国务院关于建立统一的城乡居民基本养老保险制度的意见[R/OL]. (2014-02-21). http://www.gov.cn/zhengce/content/2014-02/26/content_8656.htm
[18] 李小鹰,王建业译. 哈兹德老年医学[M]. 北京:人民军医出版社,2015:111.
[19] 傅华,王家骥.健康自我管理手册[M]. 上海: 复旦大学出版社,2009:2-3.
[20] 翟振武,陈佳鞠,李龙.中国人口老龄化的大趋势、新特点及相应养老政策[J]. 山东大学学报(哲学社会科学版),2016(3):27-35.
[21] 国家医疗保障局. 2019年全国医疗保障事业发展统计公报[R/OL]. (2020-06-24). http://www.nhsa.gov.cn/art/2020/6/24/art_7_3268.html.
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