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

作　　者：孙鑫 张春梅[2] 邢秋玲[3] 韩美佳[2] 曹龙军[4] 李虎虎[2] 陈腾 祁辅梅 SUN Xin;ZHANG Chunmei;XING Qiuling;HAN Meijia;CAO Longjun;LI Huhu;CHEN Teng;QI Fumei(Department of General Medicine,Tianjin Hexi District Traditional Chinese Medicine Hospital,Tianjin 300210,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Department of Nursing,Metabolic Disease Hospital of Tianjin Medical University,Tianjin 300400,China;College of Sports Health,Tianjin University of Sport,Tianjin 301617,China)

机构地区：[1]天津市河西区中医医院综合内科,天津300210 [2]天津中医药大学,天津301617 [3]天津医科大学代谢病医院护理部,天津300400 [4]天津体育学院运动健康学院,天津301617

出　　处：《护士进修杂志》2024年第16期1681-1685,共5页Journal of Nurses Training

基　　金：国家自然基金项目(编号:81904146);全国教育科学规划课题教育部青年项目(编号:ELA190513);天津市哲学社科规划基金(编号:TJTY20-012);天津市教委科研计划项目(编号:2019KJ070)。

摘　　要：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.

关 键 词：2型糖尿病 血脂异常 运动干预 老年护理 德尔菲法 

分 类 号：R473.59[医药卫生—护理学] R587.1[医药卫生—临床医学]