Journal of Advances in Clinical Nursing

Objective To construct an Internet-based acceptance and commitment therapy intervention program for patients with diabetes pain based on relational framework theory and the physical and mental characteristics of patients with diabetes pain. Methods Guided by relational framework theory, the first draft of the intervention program was drafted on the basis of literature research and qualitative interviews. From November 2023 to January 2024, two rounds of Delphi expert letter inquiries were conducted with 20 endocrinology medical and nursing experts in Hebei Province to form the final draft of the program. Results The effective recovery rate of the two rounds of expert letter inquiries reached 100%, and the expert authority coefficients were 0.94 and 0.96 respectively. The Kendall harmony coefficients corresponding to the importance of each item in the two rounds of letter inquiries were 0.194 and 0.204 respectively, all P < 0.001. The final intervention plan has a cycle of 1 month, including 7 first-level items and 20 second-level items. Conclusion The Internet-based acceptance and commitment therapy nursing program for patients with diabetes pain is scientific, reliable, comprehensive, specific, and has strong clinical applicability.

Diabetes pain; Acceptance and commitment therapy; Internet; Delphi method