护理研究2025,Vol.39Issue(1) :103-108.DOI:10.12102/j.issn.1009-6493.2025.01.017

基于时机理论构建腰椎间盘突出症非手术病人出院准备度干预方案

Construction of an intervention plan for discharge readiness of non-operative patients with lumbar disc herniation based on theory of"timing it right"

李媛 黄孝玲 牛衍芝 张安琪 李爽
护理研究2025,Vol.39Issue(1) :103-108.DOI:10.12102/j.issn.1009-6493.2025.01.017

基于时机理论构建腰椎间盘突出症非手术病人出院准备度干预方案

Construction of an intervention plan for discharge readiness of non-operative patients with lumbar disc herniation based on theory of"timing it right"

李媛 1黄孝玲 2牛衍芝 1张安琪 3李爽4
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作者信息

  • 1. 长春中医药大学护理学院,吉林 130000
  • 2. 长春中医药大学附属第三临床医院
  • 3. 山西医科大学护理学院
  • 4. 河南理工大学第一附属医院
  • 折叠

摘要

目的:构建腰椎间盘突出症非手术病人的出院准备干预方案,为促进病人疾病恢复和降低复发率提供思路.方法:通过理论研究、文献筛选、德尔菲专家函询构建基于时机理论的腰椎间盘突出症非手术病人出院准备度干预方案.结果:第2轮函询专家的权威系数为0.874,条目的重要性评分为3.72~5.00分,肯德尔和谐系数为0.258(P<0.001).最终构建的方案包含诊断期、急性期、出院准备期、调整期以及适应期5个一级条目、16个二级条目和37个三级条目.结论:构建的基于时机理论的腰椎间盘突出症非手术病人出院准备度干预方案具有科学性、实用性及可实施性,能够为病人疾病恢复和降低复发率提供参考.

Abstract

Objective:To develop an intervention program for discharge readiness among non-surgical patients with lumbar disc herniation,providing insights for promoting patient recovery and reducing recurrence rates.Methods:An intervention program for discharge readiness among non-surgical patients with lumbar disc herniation,based on the timing it right theory,was developed through theoretical research,literature screening,and Delphi expert consultation.Results:In the second round of consultation,the expert authority coefficient was 0.874,with item importance scores ranging from 3.72 to 5.00,and the Kendall's coefficient of concordance was 0.258(P<0.001).The final program comprised five first-level items including the diagnostic phase,acute phase,discharge readiness phase,adjustment phase,and adaptation phase,with 16 second-level items and 37 third-level items.Conclusion:The developed intervention program for discharge readiness among non-surgical patients with lumbar disc herniation,based on the timing it right theory,is scientific,practical,and implementable,providing a reference for patient recovery and reducing recurrence rates.

关键词

腰椎间盘突出症/时机理论/出院准备度/干预方案/德尔菲法

Key words

lumbar disc herniation/theory of"timing it right"/discharge readiness/intervention programmes/Delphi process

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出版年

2025
护理研究
中华护理学会山西分会,山西医科大学第一医院,山西医科大学护理学院

护理研究

北大核心
影响因子:1.377
ISSN:1009-6493
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