摘要
目的针对全膝关节置换术(TKA)患者运动恐惧,构建基于能力、机会、动机-行为(COM-B)理论模型的TKA患者运动恐惧康复护理方案,为临床工作人员实施康复治疗提供参考。方法2023年8—12月,采用文献分析法,结合COM-B理论模型与康复锻炼相关指南、专家共识初步构建方案,通过2轮德尔菲专家函询形成TKA患者运动恐惧康复护理方案,运用层次分析法计算各个条目的权重。结果纳入专家15名,男4名,女11名,年龄(45.80±5.72)岁。2轮专家函询问卷有效回收率均为15/15,专家权威系数分别为0.860和0.875,Kendall协调系数分别为0.155和0.172,差异均有统计学意义(χ^(2)=97.70、105.91,均P<0.01)。最终构建的TKA患者运动恐惧康复护理方案包括3项一级指标、8项二级指标、25项三级指标。结论基于COM-B理论模型构建的TKA患者运动恐惧康复护理方案具有科学性及实用性,能够为临床工作人员提供实践依据。
ObjectiveTo construct a rehabilitation nursing program for total knee arthroplasty(TKA)patients with kinesiophobia based on capacity,opportuniy,motivation-behavior(COM-B)theoretical model,and to provide reference for clinical staff to implement rehabilitation treatment.MethodsFrom August to December 2023,literature analysis was used to construct a preliminary program,combined the COM-B theoretical model with the rehabilitation exercise guidelines and expert consensus.The rehabilitation nursing program for TKA patients with kinesiophobia was formed through 2 rounds of Delphi expert correspondence consultation,and the analytic hierarchy process was used to calculate the weight of each item.ResultsA total of 15 experts were included,including 4 males and 11 females,aged(45.80±5.72)years old.The effective recovery rate of the 2 rounds of expert correspondence questionnaires were 15/15,the expert authority coefficients were 0.860 and 0.875,and the Kendall coordination coefficients were 0.155 and 0.172,and the differences were statistically significant(χ^(2)=97.70,105.91,both P<0.01).The final rehabilitation nursing program for TKA patients with kinesiophobia included 3 primary indexes,8 secondary indexes and 25 tertiary indexes.ConclusionsThe rehabilitation nursing program for TKA patients with kinesiophobia constructed based on COM-B theoretical model is scientific and practical,and can provide a practical basis for clinical staff.
作者
苏宙
真启云
瞿辉武
崔莉莉
戴婷婷
Su Zhou;Zhen Qiyun;Qu Huiwu;Cui Lili;Dai Tingting(Department of Orthopedics,People′s Hospital of Jiangsu University,Zhenjiang 212002,China)
出处
《中国实用护理杂志》
2024年第32期2513-2520,共8页
Chinese Journal of Practical Nursing
基金
无锡市科学技术协会软科学研究课题(KX-24-B82)
镇江市第一人民医院临床研究专项课题(Y2022005)。