发育性髋关节发育不良患儿围术期康复训练方案的构建研究

Construction of perioperative rehabilitation training program for children with developmental dysplasia of the hip

目的:构建发育性髋关节发育不良切开复位手术患儿围术期康复训练方案,指导临床应用。方法:基于文献分析、质性访谈构建方案初稿,选取我国8个地区8所三甲医院的17名专家进行2轮函询,确定最终方案。结果:2轮专家函询问卷有效回收率均为100%,专家权威系数分别为0.930和0.915,肯德尔协调系数分别为0.209(P<0.001)和0.233(P<0.001),最终形成的发育性髋关节发育不良切开复位手术患儿围术期康复训练方案包括4个一级条目,62个二级条目。结论:发育性髋关节发育不良切开复位手术患儿围术期康复训练方案具有较好的可靠性和科学性,可用于指导临床发育性髋关节发育不良切开复位手术患儿围术期的康复训练。

Objective:To construct a perioperative rehabilitation training program for children with developmental dysplasia of the hip undergoing open reduction surgery to guide clinical application.Methods:Based on the first draft of the construction program by literature analysis and qualitative interview,17 experts from 8"three A"hospitals in 8 regions of China were selected for two rounds of expert letter inquiry to determine the final program.Results:The effective recovery rates of the two rounds of expert letters were100%,the expert authority coefficients were 0.930 and 0.915 respectively,and the Kendall’s W values were 0.209(P<0.001)and0.233(P<0.001),respectively.The final perioperative rehabilitation training program for children with developmental dysplasia of the hip undergoing open reduction surgery included 4 first-level items and 62 second-level items.Conclusion:The perioperative rehabilitation training program for children with developmental dysplasia of the hip undergoing open reduction surgery is reliable and scientific,which can be used for guiding perioperative rehabilitation training for children with clinical developmental dysplasia of the hip after the open reduction surgery.