青少年重度漏斗胸患儿围术期肺康复训练方案的构建

打开文本图片集

AbstractObjective：Todevelopthe pulmonaryrehabilition training programfor adolescent patients withsevere pectus excavatum duringtheperoperativeperiod，andtoprovideaferenceforpromotingteecoveryofchdendergoingpctusecavatumurgery Methods：Basedontheconceptofpulmonaryrehabiliation，throughliteratureanalysisandsemistructuredinterviews，questioirefor thepulmonaryehablitation trainingprogramforadolescentpatientswithseverepectusexcavatumduringtheperioperativepriodwas constructed.Thefinalprogramwasdeterminedusing theDelphi expertquestionnairemethod.Results：Tworoundsofexpert questionnaires were conducted.The efective recovery rate of the questionnaire was 94.44% and 100.00% respectively.The expert questionnaire authority coeficient was O.859.The importance of each item was 3.76-4.88 and respectively.The coefficients of variation were and O.070-O.183 respectively.The Kendall coefcients were O.484 and ）.328（P<0.001 ）.The final perioperative pulmonaryrehabiliationtrainingprogramforadolescentswithseverepectusexcavatumincded8primaryitems，25secondaryitems， and29tertiaryitems.Conclusions：Theconstructedpulmonaryrehabilitationtrainingprogramfoadolescentpatientswithsevereectus excavatumduringteperioperativeperiodwassientificallandoperatioallysound.Itcouldprovideefereceforgdingtecoeryof children during the perioperative period and promote their rapid recovery after surgery.

Keywordsadolescents; pectus excavatum; pulmonary rehabilitation; Delphi method

漏斗胸（pectusexcavatum，PE）是最常见的先天性胸壁畸形，发病率可达 0.1%～0.3% ，患儿中男性多于女性[1-2]。（剩余8600字）