骨质疏松症病人运动行为护理干预方案的构建

Construction of the exercise behavior nursing intervention scheme for osteoporosis patients

目的:基于信息-动机-行为技巧模型(IMB)构建骨质疏松症病人运动行为护理干预方案,为骨质疏松症病人提供系统、规范的运动行为干预措施。方法:以IMB模型为理论指导,通过文献回顾、小组讨论,拟订干预方案初稿,采用德尔菲专家咨询形成最终干预方案。结果:共进行了2轮专家函询,专家权威系数为0.87,第1轮专家函询一级指标、二级指标、三级指标重要性的肯德尔和谐系数分别为0.064,0.164,0.147,第2轮专家函询一级指标、二级指标、三级指标重要性的肯德尔和谐系数分别为0.078,0.247,0.324,差异均有统计学意义(P<0.001)。构建的干预方案包括3个一级条目、13个二级条目、60个三级条目。结论:构建的骨质疏松症病人运动行为护理干预方案具有科学性、可靠性、实用性,可为临床护理实践提供参考。

Objective:To construct the exercise behavior nursing intervention scheme for osteoporosis patients based on IMB model,in order to provide systematic and standardized exercise behavior intervention measures for osteoporosis patients.Methods:Under the theoretical guidance of IMB model,the first draft of intervention plan was formulated through literature review and group discussion,and the final intervention plan was formed by Delphi expert consultation.Results:Two rounds of expert correspondence were conducted in this study.The expert authority coefficient was 0.87.In the first round of expert correspondence consultation,the Kendall coordination coefficients of the importance of first,second and third indicators were 0.064,0.164 and 0.147,respectively(P<0.001).In the second round of expert correspondence consultation,the Kendall coordination coefficients of the importance of first,second and third indicators were 0.078,0.247,0.324 respectively(P<0.001).The constructed intervention schemes included 3 first-level items,13 second-level items and 60 third-level items.Conclusion:The constructed exercise behavior nursing intervention scheme for osteoporosis patients was scientific,reliable and practical.It can provide reference for clinical nursing practice.