Construction of core muscle strength training plan for patients with lumbar degenerative disease based on the concept of pre-rehabilitation
10.3760/cma.j.cn211501-20231110-00981
- VernacularTitle:基于预康复理念下腰椎退行性疾病患者核心肌力训练方案的构建
- Author:
Man JIA
1
;
Junjuan ZHANG
;
Jiajia LI
;
Zheng CHE
;
Xiaoran LIU
;
Min DING
Author Information
1. 河南省人民医院骨科 河南省护理医学重点实验室 郑州大学人民医院骨科,郑州 450003
- Keywords:
Nursing care;
Preoperative exercise;
Lumbar degenerative changes;
Core muscle strength training;
Enhanced recovery after surgery
- From:
Chinese Journal of Practical Nursing
2024;40(14):1091-1097
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a core muscle strength training plan for patients with lumbar degenerative diseases based on the concept of pre-rehabilitation, and provide a theoretical basis for core muscle strength training for patients with lumbar degenerative diseases.Methods:From January 2022 to June 2023 based on literature search and group discussion, develop a primary item pool for core muscle strength training plan for patients with lumbar degenerative diseases under the concept of pre-rehabilitation. Through two rounds of Delphi expert consultation, revise and establish the core muscle strength training plan for patients with lumbar degenerative diseases under the concept of pre-rehabilitation.Results:A total of 15 experts were consulted by letter, including 3 males and 12 females, aged 35-58 (41.38 ± 5.44) years old. The positive coefficients of two rounds of correspondence with experts were 1.00 and 0.93, the expert judgment coefficients were 0.78 and 0.90, the familiarity coefficients were 0.84 and 0.92, and the authority coefficients were 0.81 and 0.91. The Kendall coordination coefficients of two rounds of inquiry had statistical significance in terms of indicator rationality (0.378, 0.384), indicator importance (0.283, 0.291), and indicator operability (0.263, 0.375) (all P<0.05). The constructed perioperative nursing quality sensitive indicator system for minimally invasive spinal surgery patients included 3 primary indicators, 9 secondary indicators, and 17 tertiary indicators. Conclusions:The core muscle strength training plan for patients with lumbar degenerative diseases based on the concept of pre- rehabilitation is scientific, reliable, practical, and feasible, and can provide a theoretical basis for core muscle strength training for patients with lumbar degenerative diseases.