Establishing the Full-Cycle Rehabilitation Key Technology Index System for Exertional Heat Stroke Based on the Delphi Meth-od

ZHU Xiumei; YU Qingling; HUANG Xiuli; CHEN Canbing; QIN Yin

doi:10.13730/j.issn.2097-2148.2025.07.012

Abstract：Objective To construct a scientific,comprehensive and practical key technology index system for the full-cycle rehabilitation of exertional heat stroke(EHS),so as to provide theoretical and practical guidance for improving survival rate of EHS,reducing the incidence of sequelae and promoting the recovery of patients.Methods A preliminary three-level index system was established by systematically searching Web of Science,PubMed,Embase and other domes-tic and foreign authoritative databases and combining with clinical practice experience.Eighteen experts with rich experi-ence in EHS treatment and high rehabilitation academic level from 5 hospitals in Fujian,Hainan and Tianjin provinces were selected via the Delphi method based on their specialties,professional titles and clinical experiences,and two rounds of consultations were conducted with a defined interval.Data analysis was carried out using Excel,SPSS 26.0 and SPS-SAU software,expert engagement was assessed by the questionnaire recovery rate,the authority coefficient was deter-mined by the arithmetic mean of the judgment basis and familiarity coefficients,and the degree of coordination of expert opinions was measured using the coefficient of variation(CV)and Kendall's coordination coefficient.Results Two rounds of consultations achieved 100％response rate,and the expert authority coefficient was 0.89,and the difference of Kendall's coordination coefficient was statistically significant by x2 test(P＜0.05),which indicating that experts had high participation,strong authority and good coordination of opinions.Finally,the key technical index system for full-cy-cle rehabilitation of EHS was successfully constructed,including 3 first-level indicators,9 second-level indicators and 33 third-level indicators,covering the early rehabilita-tion and recovery stages.Specific rehabilitation technical indicators were formulated for the key areas such as dis-turbance of consciousness,cardiopulmonary function and motor function,and the inclusion basis and interrelationship of each indicator were analyzed in depth,which highlight the scientific nature and uniqueness of the system.Conclusion The key technical index system for full-cycle rehabilitation of EHS constructed in this study has been verified by scientific and rigorous research methods,which is highly scientific,reliable and practical,and can provide important reference for medi-cal institutions to formulate personalized rehabilitation programs and standardize rehabilitation processes.At the same time,this study discusses the prospects and potential challenges of the index system in practical application,so as to point out the direction for the follow-up research and practice of EHS rehabilitation.