Construction of evaluation indexes for pain management of stroke patients
脑卒中患者疼痛管理评价指标的构建

摘要

目的 构建脑卒中患者疼痛管理评价指标，为脑卒中疼痛管理提供评价标准。方法 以结构-过程-结果理论为指导，应用文献回顾研究，结合国内外疼痛管理指南，运用德尔菲专家函询和层次分析法的定性和定量相结合的方法，构建脑卒中患者疼痛管理评价指标体系。结果 2轮专家函询问卷的有效回收率分别为100.0％、93.75％，肯德尔系数为0.452和0.410，有统计学意义（P<0.01）。最终形成一级指标3个、二级指标15个、三级指标49个的脑卒中患者疼痛管理评价指标体系。结论 脑卒中患者疼痛管理评价指标体系指标明确，为脑卒中患者提供可供参考的疼痛管理质量评价标准。

Abstract

Objective: To construct an evaluation index for stroke patients' pain management, and to provide an evaluation standard for stroke pain management.
Methods: Guided by the structure-process-result theory, applied literature review research, combined with domestic and foreign pain management guidelines, used Delphi expert correspondence and analytic hierarchy process to combine qualitative and quantitative methods to construct a pain management evaluation for stroke patients Index system.
Results: The effective recovery rates of the two rounds of expert letter questionnaires were 100.0% and 93.75%, respectively, and the Kendall coefficients were 0.452 and 0.410, which were statistically significant (P<0.01). Finally, a pain management evaluation index system for stroke patients was formed with 3 first-level indicators, 15 second-level indicators, and 49 third-level indicators.
Conclusion  : The pain management evaluation index system for stroke patients has clear indicators, and provides reference for the pain management quality evaluation standards for stroke patients.