| Objective1.To summarize the best evidence in rehabilitation nursing practices for patients with motor dysfunction in the acute phase of cerebral infarction,and to provide evidence-based support for the next step of constructing a precision rehabilitation nursing programme.2.To construct a precision rehabilitation nursing programme for patients with motor dysfunction in the acute phase of cerebral infarction that meets the current situationin China,and provide some reference value for the standardization of relevant clinical rehabilitation nursing work.Methods1.Using the "6S" model of evidence resource retrieval as the theoretical framework,etc,a research group was established to systematically search and evaluate relevant literature at home and abroad,integrate and analyse evidence resources on rehabilitation nursing for patients with motor dysfunction in the acute phase of cerebral infarction,and initially developed the content of a precision rehabilitation nursing programme through discussion among subject members and expert consultation.2.The Delphi method was used to validate the first draft of the precision rehabilitation nursing programme,and combined with the results of two roundsof expert consultation,the content of indicators at all levels was adjusted and improved to form the final version of the precision rehabilitation nursing programme for patients with motor dysfunction in the acute phase of cerebral infarction.Results1.After a rigorous literature search,screening and quality evaluation,a total of 28 relevant articles were finally included.These included 3 guidelines,1 evidence summary,1 expert consensus,3 systematic reviews,18 randomised controlled trials,1qualitative study and 1 class experimental study.After consolidating and analysing the relevant studies in the literature,and after expert consultation and group discussion,a total of 39 recommendations covering seven areas,including rehabilitation nursing assessment,rehabilitation nursing planning and rehabilitation nursing management,etc,were formed as an evidence-based basis for constructing the precision rehabilitation nursing programme.2.A precision rehabilitation nursing programme containing 7 primary indicators,26 secondary indicators and 61 tertiary indicators for patients with motor dysfunction in the acute phase of cerebral infarction was constructed.In both rounds of correspondence,the number of participants of experts was 19,the average age was43.7 (?) 8.91 and 41.7 (?) 7.71,the average working years were 21.05 (?) 0.33 and18.53 (?) 9.22,the proportion of middle and senior titles were 89.47%,the highest education of all experts was bachelor or above.Of these,the proportion of Masters and Ph D students was 36.84%,26.05% and 42.11%,15.78% respectively;the questionnaire return rates were 95% and 82.61% respectively,and the valid questionnaire return rates were 100%;the authority coefficients of experts were 0.88 and 0.87 respectively;the Kendall’s W coefficients of indicators at all levels ranged from 0.134 to 0.271(P <0.001)and 0.166 to 0.330(P <0.000)respectively,and the coefficients of variation ranged from 0.00 to 0.24 and 0.05 to 0.21 respectively;in addition,the means of significant assignments for each level of indicators ranged from 3.79 to 5.00 and 3.89 to 4.95 respectively,with standard deviations ranging from0.00 to 0.92 and 0.23 to 0.88,and perfect scores ranging from 31.59% to 100% and5.26% to 94.74%.ConclusionsThe precision rehabilitation nursing programme for patients with motor dysfunction in the acute phase of cerebral infarction constructed in this study was formed through the best evidence summary and Delphi method,and the programme is scientific and reasonable,which can provide theoretical and practical guidance for the development of clinically relevant rehabilitation nursing work. |
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