首页|基于德尔菲法构建全膝关节置换患者膝关节功能评价条目池

基于德尔菲法构建全膝关节置换患者膝关节功能评价条目池

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目的 构建适用于中国全膝关节置换术(total knee arthroplasty,TKA)患者的膝关节功能评价条目池,以满足国内患者的文化和生活习惯.方法 基于 2001 版国际功能、残疾和健康分类中骨关节炎核心组和国际主流量表内容,结合我国社会文化背景及国人生活习惯,构建了初始膝关节功能评价条目池.通过两轮德尔菲法专家咨询,对条目进行精简和完善.结果 本研究邀请了 29 名相关领域专家参与函询,专家的参与度和积极性高.经过两轮函询,各条目的重要性得分表现出良好的集中趋势,专家意见一致性水平较高,函询结果可靠.最终确定了包含 2 个维度 24 个条目的条目池.结论 本研究为构建适用于中国 TKA 患者的膝关节功能评价工具提供了坚实的基础.未来研究将进行进一步的信效度检验和条目的调试和完善,以确保量表的科学性和有效性.这一工作有望为临床实践和患者康复提供更好的支持,帮助临床医师更准确地评价和改善膝关节功能.
Constructing a knee joint function evaluation item pool for total knee arthroplasty using the Delphi Method
Objective To construct a pool of knee joint function assessment items tailored to Chinese Total Knee Arthroplasty(TKA)patients to better accommodate their cultural and lifestyle preferences.Methods Considering Chinese social and cultural backgrounds,an initial pool of knee joint function assessment items was developed based on the 2001 International Classification of Functioning,Disability,and Health core set for osteoarthritis and content from internationally recognized assessment scales.Through two rounds of Delphi expert consultations,the items were refined and improved.Results This study invited 29 experts from relevant fields to participate,demonstrating high levels of engagement and enthusiasm.Following the two rounds of consultation,the importance scores for each item exhibited a strong central tendency,indicating a high level of consensus among the experts.Consequently,a final pool of 24 items,organized into two dimensions,was established.Conclusions This study provides a solid foundation for the development of a knee joint function assessment tool tailored to Chinese TKA patients.Future research will focus on further assessment of the reliability and validity of the scale and improvement of the items to ensure scientific rigor and effectiveness.This work holds the potential to offer improved support for clinical practice and patient rehabilitation,enabling accurate evaluation and treatment.

Knee osteoarthritisTotal knee arthroplastyDelphi methodFunctionEvaluationScale

徐超、尚磊、郭一顺、姚舒馨、孙相祥、马建兵

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710054 陕西省,西安交通大学附属红会医院膝关节病区

721032 西安,空军军医大学军事预防医学系军队卫生统计学教研室

710021 陕西省,西安医学院

膝关节骨关节炎 全膝关节置换术 德尔菲法 功能 评价 量表

国家自然科学基金面上项目陕西省重点研发计划西安市卫健委一般研究项目西安市卫健委面上培育项目

821736272023-YBSF-4642023yb302024ms10

2024

中国骨与关节杂志
中国医疗保健国际交流促进会,北京中科康辰骨关节伤病研究所

中国骨与关节杂志

CSTPCD
影响因子:0.665
ISSN:2095-252X
年,卷(期):2024.13(10)