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ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1562429
Development of Evaluation Index System for Functional Ability of Older Patients with Stroke Based on Healthy Aging: A Modified Delphi Study
Provisionally accepted- 1 The First Affiliated Hospital of China Medical University, Shenyang, Liaoning Province, China
- 2 First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui Province, China
The prevalence of stroke in the older population is high and it is critical to promote and maintain the functional status of older patients post stroke. Health measures centred on functional ability can scientifically reflect the health status of older individuals. The aim of this study was to develop an evaluation index system for assessing the functional ability of older patients with stroke based on the World Health Organization Healthy Aging Model.Methods: Key indicators were identified through literature analysis and semi-structured interviews with 10 older patients with stroke. A two-round expert consultation process was conducted to evaluate and revise the indicators. Subsequently, a hierarchical construction model was established using the analytic hierarchy process to determine the weight of each level indicator.Results: The evaluation index system comprised three first-level, 13 second-level, and 53 third-level indicators. The weights ranged from 0.143-0.429 for first-level indicators, 0.052-0.349 for secondlevel indicators, and 0.040-0.667 for third-level indicators.The developed evaluation index system demonstrates reliability for assessing the functional ability of older stroke patients and provides a standardized framework for nursing staff to conduct functional assessment of older stroke patients.
Keywords: Functional ability, Older individuals, Stroke, Delphi study, Index system
Received: 17 Jan 2025; Accepted: 28 Feb 2025.
Copyright: © 2025 Zhang, Tao, Fan and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Ai-Ping Wang, The First Affiliated Hospital of China Medical University, Shenyang, 110000, Liaoning Province, China
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