首页|IKAP理论指导下护理模式结合规范化护理干预对伤口造口患者心理状况、生活质量的影响

IKAP理论指导下护理模式结合规范化护理干预对伤口造口患者心理状况、生活质量的影响

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目的 探究信息-知识-信念-行为(IKAP)理论指导下护理模式结合规范化护理干预对伤口造口患者心理状况、生活质量的影响.方法 选择 2021年 3 月—2023 年 10 月菏泽市第二人民医院收治的 86 例伤口造口患者为研究对象,按随机数字表法将其分为对照组与观察组,各43 例.对照组采用常规护理,观察组采用IKAP理论指导下护理模式结合规范化护理干预,两组均于护理 1 个月后评估.比较两组患者的心理状况、自我管理能力及生活质量.结果护理前,两组心理状况、自我管理能力及生活质量比较,组间差异无统计学意义(P>0.05);护理后,观察组抑郁自评量表、焦虑自评量表评分均低于对照组,自我管理能力量表中各个维度评分、生活质量综合评定问卷评分均高于对照组,组间差异有统计学意义(P<0.05).结论 IKAP理论指导下护理模式结合规范化护理干预能够减轻伤口造口患者的负性情绪,提高自我管理能力及生活质量.
Impact of Nursing Model Combined with Standardized Nursing Intervention Under the Guidance of IKAP Theory on the Psychological Status and Quality of Life of Patients with Wound Stomas
Objective To explore the impact of nursing model combined with standardized nursing intervention under the guidance of information-knowledge-attitude-practice(IKAP)theory on the psychological status and quality of life of patients with wound stoma.Methods Eighty-six patients with wound stomy treated in the Second People's Hospital of Heze City from March 2021 to October 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.The control group was treated with routine nursing,and the observation group was treated with IKAP theoretically guided nursing mode combined with standardized nursing intervention,both groups were evaluated after 1 month of nursing.The psychological status,self-management ability and quality of life of the two groups were compared.Results Before nursing,there were no significant differences in psychological status,self-management ability and quality of life between the two groups(P>0.05);ater nursing,the scores of the self-rating scale of depression and self-rating scale of anxiety in the observation group were lower than those of the control group,and the scores of all dimensions of the self-management ability scale and the comprehensive assessment questionnaire of quality of life in the observation group were higher than those of the control group,the differences between groups were statistically significant(P<0.05).Conclusion Under the guidance of IKAP theory,the nursing model combined with standardized nursing intervention can alleviate negative emotions in patients with wound stomas,improve self-management ability and quality of life.

Wound stomaInformation-knowledge-attitude-practiceStandardized nursing interventionPsychological conditionSelf management abilityQuality of life

张玲玲

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菏泽市第二人民医院整形美容科,山东菏泽 274000

伤口造口 信息-知识-信念-行为 规范化护理干预 心理状况 自我管理能力 生活质量

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)
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