Construction of rehabilitation nursing program for total knee arthroplasty patients with kinesiophobia based on capacity, opportuniy, motivation-behavior theoretical model
10.3760/cma.j.cn211501-20240223-00402
- VernacularTitle:基于能力、机会、动机-行为理论模型的全膝关节置换术患者运动恐惧康复护理方案构建
- Author:
Zhou SU
1
;
Qiyun ZHEN
;
Huiwu QU
;
Lili CUI
;
Tingting DAI
Author Information
1. 江苏大学附属人民医院骨科，镇江 212002
- Keywords:
Delphi technique;
Total knee arthroplasty;
Kinesiophobia;
Capacity, opportunity, motivation-behavior theoretical model
- From:
Chinese Journal of Practical Nursing
2024;40(32):2513-2520
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a rehabilitation nursing program for total knee arthroplasty (TKA) patients with kinesiophobia based on capacity, opportuniy, motivation-behavior (COM-B) theoretical model, and to provide reference for clinical staff to implement rehabilitation treatment.Methods:From August to December 2023, literature analysis was used to construct a preliminary program, combined the COM-B theoretical model with the rehabilitation exercise guidelines and expert consensus. The rehabilitation nursing program for TKA patients with kinesiophobia was formed through 2 rounds of Delphi expert correspondence consultation, and the analytic hierarchy process was used to calculate the weight of each item.Results:A total of 15 experts were included, including 4 males and 11 females, aged (45.80 ± 5.72) years old. The effective recovery rate of the 2 rounds of expert correspondence questionnaires were 15/15, the expert authority coefficients were 0.860 and 0.875, and the Kendall coordination coefficients were 0.155 and 0.172, and the differences were statistically significant ( χ2 = 97.70, 105.91, both P<0.01). The final rehabilitation nursing program for TKA patients with kinesiophobia included 3 primary indexes, 8 secondary indexes and 25 tertiary indexes. Conclusions:The rehabilitation nursing program for TKA patients with kinesiophobia constructed based on COM-B theoretical model is scientific and practical, and can provide a practical basis for clinical staff.
