护理研究2025，Vol.39Issue(18)：3048-3058,11.DOI:10.12102/j.issn.1009-6493.2025.18.004
基于慢性病轨迹模式的活动期类风湿关节炎衰弱病人护理管理方案的构建
Construction of a nursing management protocol for frail patients with active rheumatoid arthritis based on the chronic illness trajectory model
摘要
Abstract
Objective:To construct a nursing management protocol for frail protocol with active rheumatoid arthritis(RA)based on the chronic illness trajectory model.Methods:Guided by the chronic illness trajectory model,quantitative research,qualitative research,and literature review findings were integrated.The initial draft of the nursing management protocol for frail patients with active RA was gradually refined and improved through panel discussions.Two rounds of Delphi expert consultations were conducted to further revise and finalize the protocol.Results:The effective response rates for both rounds of expert consultations were 100.00%.The expert authority coefficient was 0.94.In the second round of consultations,the items importance scores for the acute phase and subacute phase ranged from 4.48 to 5.00 and 4.43 to 5.00,respectively.The Kendall's harmony coefficients were 0.236 and 0.217,respectively(all P<0.001).The variation coefficients ranged from 0.00 to 0.11 and 0.00 to 0.12,respectively.In the second round of consultations,the items feasibility scores for the acute phase and subacute phase ranged from 4.35 to 5.00 and 4.00 to 4.96,respectively.The Kendall's harmony coefficients were 0.192 and 0.207,respectively(all P<0.001).The variation coefficients ranged from 0.00 to 0.13 and 0.04 to 0.20,respectively.The final protocol included 3 first-level items,7 second-level items,and 25 third-level items for the acute phase,and 3 first-level items,7 second-level items,and 29 third-level items for the subacute phase.Conclusions:The the nursing management protocol for frail patients with active RA constructed in this study was scientific,reliable,comprehensive,clinically applicable,and feasible.关键词
慢性病轨迹模式/类风湿关节炎/衰弱/活动期/德尔菲法/方案构建Key words
chronic illness trajectory model/rheumatoid arthritis/frailty/active phase/Delphi method/protocol construction引用本文复制引用
徐任菊,朱昱旋,朱曼莉,陈玉洁,孙玥,陈雁..基于慢性病轨迹模式的活动期类风湿关节炎衰弱病人护理管理方案的构建[J].护理研究,2025,39(18):3048-3058,11.基金项目
国家自然科学基金资助项目,编号:81971522 （）
南京大学医学院附属鼓楼医院护理科研项目,编号:2022-H377 （）
