关键词: 眼科, 跌倒, 风险评估, 德尔菲法, 层次分析法, 护理

Abstract:

Objective To construct a fall risk assessment scale for inpatients in ophthalmology department,so as to provide ophthalmology medical staff with an effective fall risk assessment tool for ophthalmology inpatients. Methods We determined the index items of the fall risk assessment scale for inpatients in ophthalmology department through literature review,Delphi method and analytic hierarchy process. The convenience sampling method was used to select 41 ophthalmic medical staff members from a tertiary A hospital in Guangzhou as the research subjects in July to August 2021,and the application effect of the constructed scale was preliminarily verified by "Ophthalmic Medical Staff Satisfaction Questionnaire". Results 2 rounds of expert consultations resulted in the effective response rates of 100%,with the authority coefficients of 0.830 and 0.855,and the kendall harmony coefficients of 0.154 and 0.225,which were statistically significant (P<0.001). Finally,the assessment scale was formed,including 4 first-level indicators,18 second-level indicators and 31 third-level indicators. The ophthal-mologists were satisfied with the fall risk assessment scale for inpatients in the ophthalmology department,and their satisfaction score was (22.02±3.47) points,which was higher than the satisfaction score of Morse Fall Scale (P<0.001). Conclusion The assessment scale constructed in this study is scientific and practical,which can provide a reference and basis for clinical ophthalmologists to accurately and effectively assess the fall risk of inpatient ophthalmology inpatients.

Key words: Ophthalmology Department, Fall, Risk Assessment, Delphi Method, Analytical Hierarchy Process, Nursing Care