摘要
目的:建立操作化的精神专科医院住院患者长期滞留风险评价指标体系。方法:依据文献研究、德尔菲法、AHP层次分析法,开展2轮专家函询,确定评价指标体系及各级指标权重,据此形成临床评估表,使用Pearson相关分析进行效度检验。结果:两轮函询,专家判断系数、熟悉系数、权威系数均值分别为0.8490、0.8800、0.8645,专家意见协调系数(W)分别为0.429、0.286,差异具有统计学意义(P<0.05)。运用层次分析法计算指标权重,经一致性检验(CR<0.1),得出一个包括3个一级指标(基础人口学特征、精神疾病病情、社会支持状况)、24个二级指标和76个三级指标的评价体系,各一级指标的权重分别为0.2232、0.183、0.5937。形成临床评估表,使用Pearson相关分析检验,样本(n=88)住院天数与长期滞留风险评分具显著相关性(r=0.695,P<0.01)。结论:综合文献研究、德尔菲法及AHP层次分析法,可筛选确定精神专科医院住院患者长期滞留的风险因素,由此形成的评估表具有良好效度与操作性,可为精神科开展临床路径,优化临床管理服务提供依据。
Objective:To establish an operational risk evaluation index system for long-term stay of inpatients in psychiatric hospitals.Method:Based on literature research,Delphi method and AHP analytic hierarchy process,two rounds of expert correspondence were carried out to determine the evaluation index system and the weights of indicators at all levels,and a clinical evaluation form was formed based on this,and Pearson correlation analysis was used for validity test.Results:In the two rounds of correspondence,the mean values of expert judgment coefficient,familiarity coefficient and authority coefficient were 0.8490,0.8800 and 0.8645,respectively,and the coordination coefficient(W)of expert opinion was 0.429 and 0.286,respectively,and the difference was statistically significant(P<0.05).The AHP analytic hierarchy process was used to calculate the index weights,and the consistency test(CR<0.1)was used to obtain an evaluation system including 3 first-level indicators(basic demographic characteristics,mental illness status,and social support status),24 second-level indicators,and 76 third-level indicators,and the weights of each first-level index were 0.2232,0.183,and 0.5937,respectively.A clinical evaluation form was formed,and the number of days of hospitalization in the sample(n=88)was significantly correlated with the risk score of long-term stay(r=0.695,P<0.01).Conclusion:Based on literature research,Delphi method and AHP analytic hierarchy process,the risk factors of long-term stay of inpatients in psychiatric hospitals can be screened and determined,and the resulting evaluation form has good validity and operability,which can provide a basis for psychiatric departments to carry out clinical pathways and optimize clinical management services.
作者
陈婷婷
梁哲
赵姣文
张燕华
胡晓龙
CHEN Ting-ting;LIANG Zhe;ZHAO Jiao-wen;ZHANG Yan-hua;HU Xiao-long(Jiading District Mental Health Center,Shanghai 201806,China)
出处
《临床精神医学杂志》
CAS
2024年第3期194-197,共4页
Journal of Clinical Psychiatry
基金
上海市卫生健康委员会青年科研项目(20214Y0194)
“嘉医新星”青年人才培养计划科研项目(2019JDJYXX005)。
关键词
精神专科医院
长期住院
滞留风险
评价指标体系
psychiatric hospital
long-term hospitalization
detention risk
evaluation index system
