| | Items | Rating of importance (means ± SDs, CV) | | Round 1 | Round 2 |
| | 1. Health education | 5.00 ± 0.00, 0.00 | Merged | | 1.1. Evaluating patients and caregivers, and providing health education about management of poststroke psychological symptoms (level B) | 4.80 ± 0.63, 0.13 | Merged | | ① Explaining the relationship between TCM constitution and symptoms | 3.10 ± 1.20, 0.39 | Merged | | ② Explaining basic mechanism of symptoms | 4.10 ± 0.74, 0.18 | Merged | | ③ Elaborating relevant factors of symptoms | 4.40 ± 0.70, 0.16 | Merged | | ④ Listing manifestations of symptoms | 4.60 ± 0.52, 0.11 | Merged | | ⑤ Listing negative outcomes of symptoms | 4.80 ± 0.42, 0.09 | Merged | | ⑥ Emphasize the importance of management | 4.60 ± 0.70, 0.15 | Merged |
| | 2. Emotion relieving | 4.90 ± 0.32, 0.07 | Merged | | 2.1. Tailored diet | 4.50 ± 0.85, 0.19 | 4.40 ± 0.70, 0.16 | | ① Eating mood-improving foods (level A) | 4.00 ± 1.15, 0.29 | 4.20 ± 0.63, 0.15 | | ② Mediterranean dietary pattern (level C) | 3.80 ± 1.03, 0.27 | 4.10 ± 0.74, 0.18 | | ③ Proper diet according to the patient’s traditional Chinese medicine (TCM) constitution (level C) | 3.70 ± 0.95, 0.26 | 3.70 ± 0.68, 0.18 | | ④ Insomnia patients add Chinese medicine sleeping-improving diet according to patient's TCM constitution (level C) | - | 4.70 ± 0.48, 0.10 | | 2.2. Medication education (level C) | 4.60 ± 0.70, 0.15 | Deleted | | ① Antihypertensive drugs | 4.30 ± 0.95, 0.22 | Deleted | | ② Hypolipidemic drugs | 4.10 ± 0.88, 0.21 | Deleted | | ③ Antiplatelet drugs | 4.20 ± 0.92, 0.22 | Deleted | | ④ Anticoagulant drugs | 4.30 ± 0.95, 0.22 | Deleted | | ⑤ Neurotrophic drugs | 3.60 ± 1.08, 0.30 | Deleted | | ⑥ Mood-improving drugs | 4.40 ± 0.70, 0.16 | Deleted | | 2.3. Acupressure | 3.90 ± 0.74, 0.19 | 4.00 ± 0.67, 0.17 | | ① Pressing relevant fixed points (level A) | 4.00 ± 0.67, 0.17 | 3.90 ± 0.57, 0.15 | | ② Adding other acupressure points according to patient's TCM constitution (level C) | 4.10 ± 0.57, 0.14 | 4.00 ± 0.67, 0.17 | | ③ Insomnia patients press hypnotic points before sleeping (level B) | - | 4.10 ± 0.74, 0.18 | | ④ Each point for 3 minutes twice a day (level A) | - | 4.00 ± 0.67, 0.17 | | ⑤ Listening to soothing music while having acupressure (level A) | - | 4.40 ± 0.52, 0.12 | | 2.4. Mindfulness meditation | 4.10 ± 0.57, 0.14 | 4.20 ± 0.42, 0.10 | | ① Comfortable body positions (level B) | 4.20 ± 0.79, 0.19 | 4.20 ± 0.63, 0.15 | | ② Abdominal breathing | 4.20 ± 0.79, 0.19 | Merged | | ③ Following the audio guides (level B) | 4.30 ± 0.67, 0.16 | 4.30 ± 0.68, 0.16 | | ④ 15 minutes at a time, twice a week (level B) | 4.40 ± 0.52, 0.12 | 4.20 ± 0.42, 0.10 | | 2.5. Soothing music (level A) | 4.10 ± 0.32, 0.08 | Merged | | ① Western soothing music | 3.80 ± 0.92, 0.24 | Merged | | ② Chinese soothing music | 3.90 ± 0.99, 0.25 | Merged | | 2.6 Physical exercise | 4.40 ± 0.70, 0.16 | 4.50 ± 0.71, 0.16 | | (1) Patients without exercise contraindication are given a personalized, medium or low intensity of aerobics and progressive resistance exercise for 30 to 60 minutes a day (level A) | - | 4.50 ± 0.71, 0.16 | | ① 30 to 60 minutes per day | 4.10 ± 0.74, 0.18 | Merged | | ② Taichi, Baduanjin | 4.20 ± 0.79, 0.19 | Merged | | ③ Health exercises | 4.40 ± 0.70, 0.16 | Merged | | ④ Resistance training | 4.20 ± 0.79, 0.19 | Merged | | 2.7. Color emotion management (level C) | 3.90 ± 0.99, 0.25 | Deleted | | ① Color management of interior space | 3.60 ± 0.84, 0.23 | Deleted | | ② Health education manual color matching | 3.60 ± 1.08, 0.30 | Deleted |
| | 3 Sleep improving | 4.90 ± 0.32, 0.07 | Merged | | 3.1. Sleep behavior adjustment and nursing (level B) | 4.80 ± 0.42, 0.09 | Merged | | ① Form good sleeping habits and create a good sleeping environment | 4.80 ± 0.42, 0.09 | Merged | | ② Insomnia patients add Chinese medicine sleeping-improving diet according to patient's TCM constitution | 3.90 ± 0.88, 0.23 | Merged | | ③ Insomnia patients press hypnotic points before sleeping | 3.70 ± 0.95, 0.26 | Merged |
| | 4. function promoting | 4.70 ± 0.48, 0.10 | Merged | | (2) Doing finger exercises for 3 times a day (level B)∗ | 4.70 ± 0.48, 0.10 | 4.60 ± 0.52, 0.11 | | ① 10 sections, each section repeats 8 eight-beats (level B)∗ | 4.40 ± 0.70, 0.16 | 4.50 ± 0.53, 0.12 | | (3) Patients with dysphagia are given feeding training to improve their ability to feed (level B)∗ | 4.70 ± 0.48, 0.10 | 4.70 ± 0.48, 0.10 | | ① Strengthening swallowing function (level B)∗ | 4.60 ± 0.52, 0.11 | 4.70 ± 0.48, 0.10 | | ② Reducing food residue (level B)∗ | 4.50 ± 0.53, 0.12 | 4.70 ± 0.48, 0.10 | | ③ Preventing aspiration (level B)∗ | 4.80 ± 0.42, 0.09 | 4.70 ± 0.48, 0.10 | | (4) Guiding patients to have recreation rehabilitation, once a day (level B)∗ | - | 4.60 ± 0.70, 0.15 |
| | 5. Interaction maintaining | 4.80 ± 0.42, 0.09 | 4.80 ± 0.42, 0.09 | | (1) Patients and caregivers are encouraged to participate in the formulation and implementation of personalized nursing plans and got a home care service network platform by the electronic network (level B) | 4.70 ± 0.48, 0.10 | 4.70 ± 0.48, 0.10 | | ① Telephone follow-up once a month (level C) | 4.20 ± 0.79, 0.19 | 4.50 ± 0.53, 0.12 | | ② Getting professional guidance once a week through social software (level C) | 4.00 ± 0.82, 0.20 | 4.40 ± 0.52, 0.12 | | ③ Home visits per month | 4.20 ± 1.23, 0.29 | Deleted |
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