Construction of Omaha system-based nursing intervention program for caregiver burden in primary caregivers of Parkinson's disease patients undergoing deep brain stimulation

ZHAO Yan; WU Jianjun; SHEN Bin; XU Yafang

doi:10.12102/j.issn.1009-6493.2025.18.005

Abstract：Objective:To construct Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing deep brain stimulation(DBS).Methods:The initial draft of Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing DBS was developed through literature review.Expert consultations were conducted.The program was revised based on experts' feedback.Results:Two rounds of expert consultations were performed.The valid questionnaire response rate for both rounds of expert consultations was 100%.The expert authority coefficients were 0.88 and 0.87,respectively.In the second round of consultations,the importance scores for each item in the problem classification of the Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing DBS ranged from 4.00 to 4.90.The coefficient of variation(CV)ranged 0.06 to 0.24.For the intervention categories,the importance scores ranged from 4.10 to 4.70,and CV ranged 0.10 to 0.22.The final Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing DBS consisted of 3 parts,namely problem classification,intervention categories,and intervention measures.The problem classification table included 4 first-level items,17 second-level items,and 31 third-level items.The intervention categories table included 4 first-level items and 7 second-level items.The intervention measures table comprised 7 intervention strategies and 22 intervention details.Conclusions:The Omaha system-based nursing intervention program for caregiver burden in primary caregivers of parkinson's disease patients undergoing DBS demonstrated scientific rigor,clinical specificity,and sustainability.