Construction of a nursing management protocol for frail patients with active rheumatoid arthritis based on the chronic illness trajectory model
XU Renju
ZHU Yuxuan
ZHU Manli
CHEN Yujie
SUN Yue
CHEN Yan
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.
Keywords：chronic illness trajectory modelrheumatoid arthritisfrailtyactive phaseDelphi methodprotocol construction
Publication Date：2025-09-25
Online Publishing Date：2025-09-30(First online date of this platform, not the publication date of the document)
Pages：11( 3048-3058 )