首页|基于IKAP理论的延续性护理对脑卒中患者自我管理行为与生活质量的影响

基于IKAP理论的延续性护理对脑卒中患者自我管理行为与生活质量的影响

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目的 探讨信息-知识-信念-行为(IKAP)理论下的延续性护理对脑卒中患者自我管理行为与生活质量的影响.方法 选择2022年1月至7月新疆医科大学第二附属医院神经内科72例脑卒中住院患者作为研究对象,随机分组,取36例患者为观察组,行IKAP理论下的延续护理,其余36例患者为对照组行常规护理.比较两组患者自我管理能力,分析干预前后两组患者的自我管理行为与生活质量的变化.结果 干预3个月后,对照组自我管理行为评分无明显变化,观察组自我管理行为得分显著提高,且观察组患者的日常生活管理、康复锻炼管理、资源利用管理及自我管理行为总评分均高于对照组(P<0.05).两组患者生活质量总得分均有所提高,对照组生活质量维度得分无明显变化,观察组生活质量维度得分显著提高,且观察组体能、语言、移动、自理、社会角色、思维、上肢功能、视力等维度及生活质量总得分均高于对照组(P<0.05).结论 医护人员可以通过IKAP理论进行延续性护理,提高脑卒中患者的自我管理行为,改善患者的生活质量,降低脑卒中患者的复发率,以此帮助患者更好地回归社会.
The effect of continuous care based on IKAP theory on self-management behavior and quality of life of stroke patients
Objective To explore the effect of continuous care under the Information-Knowledge-Belief-Behavior(IKAP)theory on self-management behavior and quality of life of stroke patients.Methods A total of 72 inpatients with stroke in the Department of Neurology of The Second Affiliated Hospital of Xinjiang Medical University from January 2022 to July 2022 were selected as the study subjects,and 36 patients were randomly selected as the observation group for continuous care under the IKAP theory,and the remai-ning 36 patients were the control group for routine care.The self-management ability of the two groups were compared,and the chan-ges of self-management behavior and quality of life of the two groups before and after the intervention were analyzed.Results After three months of intervention,there was no significant change in the self-management behavior score of the control group,the self-man-agement behavior score of the observation group was significantly improved,and the total scores of daily life management,rehabilita-tion exercise management,resource utilization management and self-management behavior of the observation group were higher than those of the control group(P<0.05),the total score of quality of life in both groups were improved,the score of quality of life di-mension in the control group was significantly improved,and the total score of physical fitness,language,mobility,self-care,social role,thinking,upper limb function,visual acuity and other dimensions and quality of life in the observation group were higher than those in the control group(P<0.05).Conclusion Healthcare professionals can improve the self-management behavior and quality of life of stroke patients through the IKAP theory,and reduce the recurrence rate of stroke patients,so as to help patients better return to society.

stroke patientsIKAP theorycontinuity of careself-management behaviorquality of life

宋润琛、蒋红、鞠柠蔚、熊明钰

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新疆医科大学护理学院 830017

新疆医科大学第二附属医院 830017

脑卒中患者 IKAP理论 延续性护理 自我管理行为 生活质量

新疆维吾尔自治区自然科学基金新疆医科大学大学生创新创业训练计划(第十七期)

2020D01C166S202210760072

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(2)
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