基于IMB模型的冠心病合并糖尿病患者冠状 动脉旁路移植术后运动干预方案的构建

Development of an Exercise Intervention Program Based on the IMB Model for Patients with Coronary Heart Disease Complicated by Diabetes Mellitus after Coronary Artery Bypass Grafting

摘要: 目的：构建基于IMB模型的冠心病合并糖尿病患者冠状动脉旁路移植术(Coronary Artery Bypass Grafting, CABG)术后运动干预方案。方法：以信息–动机–行为技巧模型(Information-Motivation-Behavioral Skills Model, IMB)模型为理论基础，通过文献回顾、研究小组讨论构建基于IMB模型的冠心病合并糖尿病患者CABG术后运动干预方案初稿；经过两轮德尔菲专家函询，形成干预方案终稿。结果：共15名专家完成两轮函询，问卷回收率分别为83.3%和100%，专家权威系数为0.803，肯德尔系数为0.216 (P < 0.001)。最后形成包含4个维度，15个条目的冠心病合并糖尿病患者CABG术后运动干预方案。结论：构建的基于IMB模型的冠心病合并糖尿病患者CABG术后运动干预方案具有科学性和可靠性，可为冠心病合并糖尿病患者CABG术后运动干预提供借鉴。

Abstract: Objective: To develop a post-operative exercise intervention program based on the Information-Motivation-Behavioral Skills (IMB) model for patients with coronary heart disease complicated by diabetes mellitus undergoing Coronary Artery Bypass Grafting (CABG). Methods: A preliminary draft of the exercise intervention program was developed based on the IMB model through a literature review and discussions within the research team. The final version of the intervention program was formed after two rounds of Delphi expert consultation. Results: A total of 15 experts participated in both rounds of consultation. The questionnaire response rates were 83.3% and 100%, respectively. The expert authority coefficient was 0.803, and the Kendall’s coefficient of concordance was 0.216 (P < 0.001). The final exercise intervention program for patients with coronary heart disease complicated by diabetes after CABG consisted of 4 dimensions, and 15 items. Conclusion: The constructed post-CABG exercise intervention program based on the IMB model for patients with coronary heart disease and diabetes is scientific and reliable, providing a reference for exercise interventions in this specific patient population.