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制定基于共识的下肢骨折患者动机性关怀路径:德尔菲协议。

Developing a consensus-based motivational care pathway for individuals with lower limb fractures: a Delphi protocol.

机构信息

Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal.

Nurs* Lab, Almada, Portugal.

出版信息

Front Public Health. 2024 Jul 16;12:1384498. doi: 10.3389/fpubh.2024.1384498. eCollection 2024.

DOI:10.3389/fpubh.2024.1384498
PMID:39081354
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11286470/
Abstract

Older adults with lower limb fractures often harbor concerns about losing their mobility, fearing a loss of independence. It is vital to develop strategies that foster their active engagement in the rehabilitation process. The present protocol aims to create a care pathway tailored to motivate individuals with lower limb fractures to adhere to rehabilitation. We will develop an observational, cross-sectional, and descriptive study using the Delphi data-gathering approach. Purposive sampling will recruit a panel of healthcare professionals and experts who care for patients with lower limb fractures. Aligned with the Delphi method, a series of iterative rounds will be developed to gather consensus around the motivational strategies used by health professionals in the rehabilitation of people with lower limb fractures. We will employ the Qualtrics platform for data collection and analysis, and a consensus target of 75% has been predetermined. For quantitative data analysis, we will use descriptive statistics encompassing a range of measures, including count, mean, standard deviation, median, minimum, maximum, and range. An inductive thematic analysis procedure will be employed to extract meaningful themes and patterns from qualitative data. The study results are expected to significantly impact clinical practice by creating a specialized care pathway to motivate individuals with lower limb fractures to adhere to rehabilitation. Adopting these explicit standards by professionals will ensure uniform and high-quality care.

摘要

老年人下肢骨折后常常担心失去活动能力,害怕失去独立性。制定策略以促进他们积极参与康复过程至关重要。本方案旨在制定一种专门的护理路径,以激励下肢骨折患者坚持康复。我们将采用德尔菲数据收集方法进行一项观察性、横断面和描述性研究。通过目的性抽样,我们将招募一组专门护理下肢骨折患者的医疗保健专业人员和专家。与德尔菲方法一致,我们将制定一系列迭代轮次,以就卫生专业人员在下肢骨折患者康复过程中使用的激励策略达成共识。我们将使用 Qualtrics 平台进行数据收集和分析,并预先设定了 75%的共识目标。对于定量数据分析,我们将使用描述性统计方法,包括计数、均值、标准差、中位数、最小值、最大值和范围。我们将采用归纳主题分析程序从定性数据中提取有意义的主题和模式。该研究结果有望通过创建专门的护理路径来激励下肢骨折患者坚持康复,从而对临床实践产生重大影响。专业人员采用这些明确的标准将确保提供统一和高质量的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a162/11286470/19f0158c9b65/fpubh-12-1384498-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a162/11286470/19f0158c9b65/fpubh-12-1384498-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a162/11286470/19f0158c9b65/fpubh-12-1384498-g001.jpg

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