慢性心力衰竭患者运动康复参与护理干预方案的构建

doi:10.3761/j.issn.0254-1769.2023.04.004

摘要/Abstract

摘要：

目的构建慢性心力衰竭患者运动康复参与护理干预方案，为提高患者运动参与度提供指导。方法系统检索国内外文献，以患者健康参与模型为理论指导，构建慢性心力衰竭患者运动康复参与护理干预方案初稿。2022年5月—6月，通过德尔菲法对18名专家进行函询，征询专家意见并修订，形成方案终稿。结果经过2轮函询后18名专家意见趋于一致，专家权威系数为0.831，第2轮函询后，条目重要性肯德尔和谐系数为0.302（P<0.001），条目变异系数为0~0.185，最终形成的干预方案包括空白期、觉醒期、依赖期、自我实现期4个分期，每个分期均包含3个干预视角，共23条具体措施。结论构建的运动康复参与护理干预方案具有科学性，能为提高慢性心力衰竭患者运动康复参与提供指导。

关键词: 心力衰竭, 运动疗法, 康复护理, 德尔菲技术

Abstract:

Objective To construct an exercise rehabilitation engagement nursing intervention program for chronic heart failure patients，and to provide practical guidance for improving patients’ exercise engagement. Methods The draft of the exercise rehabilitation engagement nursing intervention program for patients with heart failure was constructed based on the systematic retrieval of domestic and foreign literature and the theoretical guidance of the Patient Health Engagement model. 18 experts were consulted by Delphi to seek their advice and clinical experience，and the final draft was formed from May to Jun 2022. Results 18 experts were enrolled，and the opinions of all experts tended to be consistent after 2 rounds of correspondence. The expert authority coefficient was 0.831；Kendall’s coefficient of importance after 2 rounds of consultation was 0.302（P<0.001）；and the coefficient of variation ranged from 0 to 0.185. The final intervention program included 4 stages：Blackout，Arousal，Adhesion，and Eudaimonic Period，and each of them included 3 intervention perspectives. In the end，23 specific interventions were constructed. Conclusion The exercise rehabilitation engagement nursing intervention program is scientific and can provide a reference for improving exercise engagement in patients with chronic heart failure.

Key words: Heart Failure, Exercise Therapy, Rehabilitation Nursing, Delphi Method

于甜栖, 孙国珍, 高敏, 王洁, 刘沈馨雨, 黄杨曦, 鲍志鹏. 慢性心力衰竭患者运动康复参与护理干预方案的构建[J]. 中华护理杂志, 2023, 58(4): 414-420.

YU Tianxi, SUN Guozhen, GAO Min, WANG Jie, LIU Shenxinyu, HUANG Yangxi, BAO Zhipeng. Construction of an exercise rehabilitation engagement nursing intervention program for chronic heart failure patients[J]. Chinese Journal of Nursing, 2023, 58(4): 414-420.

图/表 1

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