对于患有下肢动脉样硬化的患者进行行走康复护理方案的多学科制定 Obliterans:Delphi研究
Qingmei Niu1, Qian Zhang1, Ying Yu1
1Department of Nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi, People's Republic of China.
Journal of multidisciplinary healthcare
|March 11, 2026
概括
为患有下肢动脉样硬化 obliterans (ASO) 的中国患者开发了一种新的行走康复方案. 这一基于证据的指导方针提供了标准化的临床护理策略,以改善患者的治疗结果.
科学领域:
- 血管外科 血管外科
- 临床护理 临床护理
- 康复医学 康复医学 康复医学
背景情况:
- 下肢动脉样硬化 (ASO) 是一种广泛的血管疾病,患病率不断增加,死亡率显著.
- 虽然运动,特别是监督步行计划,在ASO患者改善步行能力方面表现有前途,但标准化的临床指导方针不存在.
研究的目的:
- 为中国患者创建一个适合环境的行走康复方案,诊断为下肢动脉样硬化 obliterans (ASO).
- 为管理ASO提供基于证据的临床护理实践理论和实践建议.
主要方法:
- 进行了对国家和国际文献的系统审查,以形成基于证据的协议的基础.
- 一份初步议定书草案经历了两轮的德尔菲协商,与20名多学科专家进行了商.
- 专家的共识被统计分析,以最终确定标准化的行走康复方案.
主要成果:
- 在两轮Delphi咨询中,获得了100%的专家响应率.
- 高专家权威系数 (0.918和0.945) 和低变化系数表明了强大的专家一致.
- 肯德尔的一致系数显示出显著的共识 (p<0.05),导致最终的协议有5个初级,13个二级和40个三级指标.
结论:
- 开发的Delphi衍生协议为下肢ASO提供了一种标准化的步行康复方法.
- 这一基于证据的协议解决了临床指南中的现有缺口,并支持ASO患者的标准化干预措施.
相关概念视频
Peripheral Artery Disease IV: Nursing Management
524
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
524
Peripheral Artery Disease V: Postoperative Nursing Management
495
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
495
Peripheral Artery Disease III: Interprofessional Care
486
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
486
Atherosclerosis IV: Nursing Management
540
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
540
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
569
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
569
Peripheral Artery Disease I: Introduction
521
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
521


