Construction and Application Research of a Multi-dimensional Pre-rehabilitation Program for Lumbar Military Training In-jury Patients Based on Shared Decision-making
GENG Qingqing
MI Na
SHANG Guangyan
TENG Tiantian
ZHANG Fen
XIN Haixia
Abstract：Objective To construct a multi-dimensional pre-rehabilitation program for lumbar military training inju-ry(MTI)patients and explore its application effect.Methods Guided by shared decision-making theory,a multi-dimensional prehabilitation program with evidence from the literature review and semi-structured interviews was developed,after two rounds of expert consultation,the final program was determined.According to the order of admission,60 patients with lumbar MTI who were hospitalized in the author's hospital from June to August 2024 were selected as the control group by convenience sampling method and received routine perioperative nursing;a total of 60 patients with lumbar MTI hospitalized from September 2024 to November 2024 were selected as the experimental group,and were intervened according to the multi-dimensional pre-rehabilitation program on the basis of routine perioperative nursing.The scientificness,practicability and application effect of multi-dimensional pre-rehabilitation program were evaluated.Results The expert positive coefficients of the two rounds of expert letter inquir-ies were all 100.00％,the expert authority coefficients were 0.926 and 0.956,the variation coefficients were 0.162 and 0.127,and the Kendall harmony coefficients were 0.339 and 0.205,respectively;the content of the final scheme included 5 first-level items,18 second-level items and 57 third-level items.The Oswestry disability index(ODI),15-item quality of recovery(QOR-15),generalized anxiety disorder scale-7 items(GAD-7),patient health questionnaire-9 items(PHQ-9),the first time to get out of bed after operation,average length of hospital stay and hospitalization satisfaction of patients in the experimental group were better than those of the control group(all P＜0.05).Conclusion The preoperative multi-di-mensional pre-rehabilitation scheme based on the shared decision theory is scientific and reasonable,with good practicabil-ity and popularization,which improves and enrichments the connotation of rapid rehabilitation of lumbar MTI,and provides a reference for further improving the medical support ability of military hospitals at both peacetime and wartime.
Keywords：Multi-dimensional pre-habilitation programShared decision-making theoryMilitary training injuryOswestry disability index
Publication Date：2025-10-28
Online Publishing Date：2025-12-05(First online date of this platform, not the publication date of the document)
Pages：8( 896-903 )