Application of IKAP Model in Patients with Large Area Skin Defect after Trauma
Objective To explore the effect of the information,knowledge,attitude,and practice(IKAP)nursing model on postoperative repair effect and social and psychological responses in patients with large-area skin defects after trauma.Methods A total of 91 patients who underwent repair of large-area skin defects in the author's hospital from February 2019 to February 2023 were selected,and randomly divided into the IKAP group(n=46)and the control group(n=45).The control group received routine nursing intervention,while the IKAP group received IKAP model of nursing intervention.Postoperative repair effect,self-efficacy,activities of daily living,social and psychological responses,and complications were compared between the two groups.Results There was no statistically significant difference in the survival rate of skin flap or skin healing time between the two groups(P＞0.05).Hospital stay of the IKAP group was shorter than that of the control group(P＜0.05).After intervention,the GSES and HPLP-Ⅱ scores in the IKAP group were higher than those in the control group(P＜0.05),and the scores of depression,anxiety,terror,hostility,paranoia and somatization in SCL-90 in the IKAP group were lower than those in the control group(P＜0.05).The incidence rates of complications such as infection,hematoma and pressure sores in the IKAP group during intervention were lower than those in the control group(P＜0.05).Conclusion For postoperative care of patients with large-area skin defects after trauma,IKAP model of intervention can effectively shorten hospital stay,improve self-efficacy and healthy behaviors,alleviate negative psychological emotions,and reduce complications.
traumaskin defectflapinformation-knowledge-attitude-practicesocial and psychological responses
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