老年2型糖尿病合并血脂异常患者运动干预方案的构建

Construction of exercise intervention program for elderly patients with type 2 diabetes mellitus complicated with dyslipidemia

目的 构建老年2型糖尿病(type 2 diabetes mellitus, T2DM)合并血脂异常患者运动干预方案。方法 通过文献研究、半结构式访谈,拟定运动干预方案初稿;于2023年2-4月运用德尔菲法进行2轮专家函询,确定最终方案。结果 18名专家2轮函询的积极系数均为100%,权威系数分别为0.878和0.856,2轮函询条目重要性和可行性的肯德尔和谐系数分别为0.139、0.158和0.133、0.194,且差异有统计学意义(P<0.001)。构建的运动干预方案包括5个一级指标、23个二级指标、57个三级指标。结论 本研究构建的老年T2DM合并血脂异常患者运动干预方案具有一定的可靠性、科学性和实用性,可为老年T2DM合并血脂异常患者运动干预的临床实践提供参考。

Objective To construct an exercise intervention program for elderly patients with type 2 diabetes mellitus(T2DM)complicated with dyslipidemia.Methods Through literature research and semi-structured interviews,the first draft of the exercise intervention program was constructed,and form February to April 2023 the Delphi method was used to conduct 2 rounds of expert correspondence to determine the final plan.Results The positive coefficients of 2 rounds of the 18 experts was 100%,and the authority coefficients were 0.878 and 0.856,respectively.The Kendall harmony coefficients of the importance and feasibility of the items were 0.139,0.158,and 0.133,0.194,respectively,and the differences were statistically significant(P<0.001).The exercise intervention program included 5 first-level items,23 second-level items,and 57 third-level items.Conclusion The exercise intervention program for elderly T2DM patients with dyslipidemia constructed in this study has certain reliability,scientificity,and practicality,and can provide reference for clinical practice of their exercise intervention.