摘要目的:基于互动式患者参与患者安全理论框架和患者健康参与模型构建下肢骨搬运患者互动式参与健康照护方案。方法:2022年8—11月，通过文献回顾、下肢骨搬运患者访谈，基于互动式患者参与患者安全理论框架和患者健康参与模型构建下肢骨搬运患者互动式参与健康照护方案初稿，采用德尔菲法对25名专家进行2轮函询，对方案条目进行筛选和修改。结果:2轮函询的专家积极系数为92.00%（23/25）和100.00%（23/23），权威系数为0.913，肯德尔和谐系数为0.127和0.140（ P<0.01）。最终构建的下肢骨搬运患者互动式参与健康照护方案包括3个一级条目、22个二级条目和65个三级条目。 结论:本研究构建的下肢骨搬运患者互动式参与健康照护方案兼具科学性和实用性，可为下肢骨搬运患者参与健康照护提供理论依据和实践指导。

abstractsObjective:To construct an interactive health care participation program for patients undergoing lower limb bone transport based on the interactive patient participation safety theory framework and the Patient Health Engagement model.Methods:From August to November 2022, through literature review and interviews with patients undergoing lower limb bone transport, a preliminary draft of the interactive health care participation program was developed based on the interactive patient participation safety theory framework and the Patient Health Engagement model. The Delphi method was used to conduct two rounds of consultations with 25 experts to screen and revise the program items.Results:The expert positive coefficients for the two rounds of expert consultations were 92.00% (23/25) and 100.00% (23/23). The authority coefficient was 0.913, and the Kendall's W coefficients for consistency were 0.127 and 0.140 ( P<0.01). The final program included three primary items, 22 secondary items, and 65 tertiary items. Conclusions:The interactive health care participation program for patients undergoing lower limb bone transport constructed in this study is both scientific and practical, can provide a theoretical basis and practical guidance for patient engagement in health care.