经皮冠状动脉介入治疗术后恐动症患者早期运动康复方案的构建  

Construction of early exercise rehabilitation program for patients with kinesophobia after PCI

作　　者：李雯欣 涂惠[1] 郭婷[1] 张娜[2] 陈祎慧 谢丽丽 于浪琴 LI Wenxin;TU Hui;GUO Ting;ZHANG Na;CHEN Yihui;XIE Lili;YU Langqin(Department of Cardiovascular Medicine,The 2ed Affiliated Hospital,Jiangxi Medical College,Nanchang University,Nanchang,330006,China)

机构地区：[1]南昌大学第二附属医院心血管内科,南昌市330006 [2]南昌大学护理学院

出　　处：《中国护理管理》2024年第12期1792-1797,共6页Chinese Nursing Management

基　　金：江西省自然科学基金资助面上项目(20242BAB25429);江西省科学技术厅重点研发计划项目(20202BBG73018);南昌大学第二附属医院2023年度院内资助临床研究(2023efyN01)。

摘　　要：目的:构建基于接纳承诺疗法的PCI术后恐动症患者早期运动康复方案,为恐动症患者康复策略的实施提供依据。方法:系统检索国内外数据库中关于心血管疾病术后恐动症患者早期运动康复的研究,检索时限为建库至2023年1月31日,提取关键干预信息;在关系框架理论和恐惧-回避模型的指导下制定基于接纳承诺疗法的PCI术后恐动症患者早期运动康复方案初稿;采用德尔菲法对15名专家进行两轮函询,形成最终方案。结果:共纳入17篇文献。两轮专家函询问卷有效回收率均为100.0%,专家权威系数分别为0.875、0.935,肯德尔和谐系数分别为0.213、0.318(均P<0.001),变异系数分别为0~0.17、0~0.14。最终构建的方案包括4个阶段、10个项目及27项具体措施。结论:基于接纳承诺疗法的PCI术后恐动症患者早期运动康复方案具有科学性、可靠性及全面性,可为临床尽早开展恐动症干预提供参考。Objective:To construct an early exercise rehabilitation program for patients with kinesiophobia after Percutaneous Coronary Intervention(PCI)based on Acceptance Commitment Therapy(ACT),so as to provide a basis for the implement of rehabilitation strategies for patients with kinesophobia.Methods:Literature on exercise rehabilitation for patients with kinesophobia after PCI was systematically searched in the relevant database from inception to January 31,2023 to extract key intervention information.Under the guidance of Relational Framework Theory and fear-avoidance model,the draft of early exercise rehabilitation program for patients with kinesiophobia after PCI based on ACT was developed.Using Delphi method,the final program was formulated by two rounds of correspondence with 15 experts.Results:A total of 17 studies were included.The effective recovery rates of the 2 rounds of the expert correspondence were 100.0%,the coefficients of expert authority were 0.875 and 0.935,the Kendall coordination coefficients were 0.213 and 0.318(all P<0.001),and the coefficient of variation ranged from 0 to 0.17 and 0 to 0.14,respectively.The final program included 4 stages,10 projects,and 27 specific measures.Conclusion:The early exercise rehabilitation program for patients with kinesiophobia after PCI based on ACT is scientific,reliable,and comprehensive,and it can provide reference for early clinical intervention for patients with kinesiophobia.

关 键 词：经皮冠状动脉介入治疗 恐动症 接纳承诺疗法 早期运动康复 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]