基于德尔菲法构建骨质疏松伴衰弱老年人居家运动方案

Construction of home-based exercise program for elderly patients with frailty and osteoporosis based on Delphi method

目的 构建骨质疏松伴衰弱老年人居家运动方案,为该人群居家运动管理提供依据。方法 系统检索国内外骨质疏松和衰弱老年人运动干预的文献,经文献研究、课题组讨论以及通过15位专家的两轮函询,构建方案。结果 两轮专家函询的有效回收率均为100%,专家权威系数为0.905。第2轮专家函询各指标重要性均数为4.43~5.00,变异系数为0~0.23,肯德尔协调系数为0.359(P<0.001),最终形成的骨质疏松伴衰弱老年人居家运动方案包括3个一级指标、11个二级指标、46个三级指标。结论 本研究构建的骨质疏松伴衰弱老年人居家运动方案具有科学性和可靠性,为今后骨质疏松伴衰弱老年人的居家运动管理实践提供参考。

Objective To construct the home-based exercise program for elderly patients with frailty and osteoporosis,so as to provide evidence for the home-based exercise management.Methods Through systematically searching domestic and foreign literatures about exercise intervention for osteoporosis and frailty in the elderly,the scheme was constructed through literature research,study group discussion and 2 rounds of Delphi consultation among 15 experts.Results The effective response rates of 2 rounds of consultations were 100%.The experts authority coefficient was 0.905.After 2 rounds of consultations,the importance score of the indicators was 4.43-5.00,and the coefficient of variation was 0-0.23,Kendall’s W coefficient was 0.359(P<0.001).Finally,a home-based exercise program for elderly patients with frailty and osteoporosis was formed,including 3 first-level indicators,11 second-level indicators and 46 third-level indicators.Conclusions The home-based exercise program constructed in this study is scientific and reliable,which can provide references for home exercise management in the elderly patients with osteoporosis and frailty in the future.