Construction Health Risk Identification Indicators for Elderly Chronic Disease Patients Based on Social-Ecological Model

Sun Yuanqiu; Qu Xiaoyan; Zhu Hui

doi:10.3969/j.issn.1006-7256.2024.08.003

Abstract：Objective:To construct health risk identification indicators for elderly chronic disease patients based on social-ecological models.Methods:Based on the social-ecological model,a preliminary draft of health risk identification indicators was constructed through literature review and semi-structured interviews.From November 1 to December 31,2022,invite university teachers and clinical nursing staff engaged in chronic disease and epidemiological research to conduct Delphi expert inquiries and modify indicators.Results:Two rounds of expert inquiries were conducted,with expert positivity coefficients of 76.7%and 73.9%,and authority coefficients of 0.811 and 0.826,respectively.In the first round of inquiry,the Kendall harmony coefficient of indicators at all levels was 0.110～0.204(P<0.05).In the second round of inquiry,the Kendall harmony coefficient of indicators at all levels was 0.158～0.210(P<0.05).In the second round of in-quiry,the average score for assigning importance values to indicators at all levels was 4.29～5.00 points,with a coefficient of variation of 0.00～0.11.The final health risk identification indicators for elderly chronic disease patients include 5 first-level indicators,12 second-lev-el indicators,and 30 third-level indicators.Conclusion:The health risk identification indicators for elderly chronic disease patients construc-ted in this study are scientific and comprehensive,and can provide a basis for disease risk management in elderly chronic disease patients.