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.