腰椎间盘突出症术后恐动症病人康复护理方案的构建  

Construction of the rehabilitation nursing program for postoperative kinesiophobia patients with lumbar disc herniation

作　　者：黄钰雯 韩小云[2] 吴智水 冯科曙 马雪 HUANG Yuwen;HAN Xiaoyun;WU Zhishui;FENG Keshu;MA Xue(School of Nursing,Soochow University,Jiangsu 215006;The Third Affiliated Hospital of Soochow University)

机构地区：[1]苏州大学护理学院,江苏215006 [2]苏州大学附属第三医院

出　　处：《护理研究》2024年第20期3614-3620,共7页Chinese Nursing Research

摘　　要：目的:基于跨理论模型构建腰椎间盘突出症术后恐动症病人康复护理方案,为提升临床腰椎间盘突出症术后恐动症病人康复运动的依从性提供依据。方法:以跨理论模型为理论基础,并通过文献检索及质性访谈,结合临床实际初步拟定腰椎间盘突出症术后恐动症病人康复护理方案初稿。通过德尔菲法对18名专家进行2轮函询,确定最终方案。结果:第2轮专家函询的有效问卷回收率为100%,专家权威系数为0.909,各级条目的重要性均分为3.94~5.00分,变异系数为0.00~0.22。2轮函询肯德尔和谐系数分别为0.347和0.358(P<0.001)。最终形成的腰椎间盘突出症术后恐动症病人康复护理方案包括5个一级条目、20个二级条目。结论:构建的腰椎间盘突出症术后恐动症病人康复干预方案具有较好的科学性和实用性,对于提高腰椎间盘突出症术后恐动症病人康复运动的依从性具有指导意义。Objective:To construct the rehabilitation nursing program for postoperative kinesiophobia patients with lumbar disc herniation based on transtheoretical model,and to provide basis for improving rehabilitation exercise compliance of clinical postoperative kinesiophobia patients with lumbar disc herniation.Methods:Based on transtheoretical model,literature search,qualitative interview and clinical practice,the first draft of rehabilitation nursing program for postoperative kinesiophobia patients with lumbar disc herniation was prepared.Two rounds of correspondence were conducted with 18 experts through Delphi method to determine the final scheme.Results:The effective questionnaire recovery rate of the second round of expert correspondence was 100%.The expert authority coefficient was 0.909.The importance of items at all levels ranged from 3.94 to 5.00.And the coefficient of variation ranged from 0.00 to 0.22.Kendall concordances were 0.347 and 0.358(P<0.001),respectively.The final rehabilitation nursing program for postoperative kinesiophobia patients with lumbar disc herniation included 5 first-level items and 20 second-level items.Conclusions:The established program is scientific and practical,and has guiding significance for improving the compliance of rehabilitation exercise for patients with movement phobia after lumbar disc herniation.

关 键 词：腰椎间盘突出症 恐动症 跨理论模型 康复护理 德尔菲法 

分 类 号：R473.6[医药卫生—护理学]