一个基于证据的炼计划,以整体关节整形康复老年患者的股骨部骨折:德尔菲研究
Yazhuo Gao1, Qianyin Zhu2, Xiaoyan Zhan3
1School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People's Republic of China.
Clinical interventions in aging
|December 31, 2025
概括
这项研究开发了一项专家指导的康复计划,用于接受关节整形手术 (THA) 的中国老年人,患有大腿骨骨折 (FNFs). 该计划涉及手术前,手术后和家庭护理,以改善患者的治疗结果.
科学领域:
- 老年人骨科的骨科治疗
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 腿部部骨折 (FNFs) 对老年人群构成重大健康挑战.
- 全关节整形术 (THA) 是 FNFs 的活跃老年患者的标准手术治疗.
- 对于中国的医疗保健环境而言,存在有限的标准化,基于证据的康复方案.
研究的目的:
- 为中国老年患者开发和验证基于专家共识的康复计划,这些老年患者接受THA.
- 解决手术前准备,手术后护理和家庭康复的连续性方面的关键差距.
- 创建一个反映中国医疗保健实践的量身定制计划.
主要方法:
- 采用基于证据的实践变革模型框架的多阶段方法.
- 通过对21名医疗保健专业人员进行半结构面试进行需求评估.
- 来自16个高质量来源的系统证据综合.
- 代式,两轮的德尔菲咨询与15个多学科专家.
主要成果:
- 获得了高专家参与度 (93.75%-100%的响应率) 和权威 (Cr=0.917).
- 专家协调有所改善,这是肯德尔的W值增加和变化系数下降所表明的.
- 开发了一个四个领域的计划:在医院进行手术前,在医院进行手术后,在医院之外进行家庭康复和随访护理.
- 最终计划包括4个第一级,17个第二级和63个第三级项目,具有特定的操作参数.
结论:
- 一个全面的,多层次的康复框架,为老年FNF患者在中国接受THA成功开发.
- 该计划在内容和可行性方面达到了可接受的专家协议.
- 未来的验证对于确定临床有效性和指导基于证据的实施至关重要.
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