Construction of an early rehabilitation exercise program for patients with agoraphobia after total knee arthroplasty
10.3760/cma.j.cn115682-20241027-05863
- VernacularTitle:全膝关节置换术后恐动症患者早期康复锻炼方案的构建
- Author:
Miaoran CUI
1
;
Mengfei YANG
;
Ying LI
;
Linyi LI
;
Junmei QIN
;
Xiaotong XUE
;
Libai CAI
Author Information
1. 郑州大学第一附属医院骨科，郑州 450053
- Publication Type:Journal Article
- Keywords:
Delphi method;
Arthroplasty, replacement, knee;
Agoraphobia;
Kinesiophobia;
Early rehabilitation
- From:
Chinese Journal of Modern Nursing
2025;31(22):2994-3000
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an early rehabilitation exercise program for patients with agoraphobia after total knee arthroplasty (TKA) to provide guidance for orthopedic rehabilitation nursing practice.Methods:The first draft of an early rehabilitation exercise program for patients with agoraphobia after TKA was developed through literature search, semi-structured interviews, and group discussions. From November to December 2023, 20 experts from nine provinces and centrally administered municipalities were selected for two rounds of expert consultation using the Delphi method to form the final draft of the early rehabilitation exercise program for patients with agoraphobia after TKA.Results:In two rounds of consultation, the questionnaire recovery rates were 91.30% (21/23) and 95.24% (20/21), with authority coefficients of 0.92 and 0.96, and Kendall's coordination coefficients of 0.28 and 0.34, respectively ( P<0.05). After the second round of consultation, the mean importance assignment scores for all levels of indicators ranged from 3.90 to 5.00, with coefficients of variation ranging from 0 to 0.20. The finalized early rehabilitation exercise program for patients with agoraphobia after TKA contained two parts, including the preface and the main text, and the main text consisted of five first-level items, 21 second-level items, and 35 third-level items. Conclusions:The content of the early rehabilitation exercise program for patients with agoraphobia after TKA is scientific, reasonable, comprehensive, practical and targeted, which can provide a basis for clinical medical and nursing personnel to guide the early rehabilitation exercise for patients with agoraphobia after TKA.
