首页|基于IKAP理论的延续性护理在脑血管介入术后患者中的应用效果

基于IKAP理论的延续性护理在脑血管介入术后患者中的应用效果

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目的:观察基于信息-知识-信念-行为(IKAP)理论的延续性护理在脑血管介入术后患者中的应用效果.方法:选取2019 年 1 月至 2021 年 4 月于该院行脑血管介入术的 80 例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 50 例.对照组实施常规护理,观察组实施基于IKAP理论的延续性护理,比较两组疾病知晓率、护理前后日常活动能力[Barthel指数(BI)]评分、自我管理能力评分及睡眠质量[匹兹堡睡眠质量指数(PSQI)]评分.结果:观察组疾病知识知晓率为 92.00%(46/50),高于对照组的76.00%(38/50),差异有统计学意义(P<0.05);护理 1、2、3 个月后,两组BI评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组自我管理能力评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);胡护理后,两组PSQI评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05).结论:基于IKAP理论的延续性护理应用于脑血管介入术后患者可提高疾病知识知晓率、日常生活能力评分和自我管理能力评分,以及降低睡眠质量评分的效果优于常规护理效果.
Application effects of continuous nursing based on IKAP theory in patients after cerebrovascular intervention
Objective:To observe application effect of continuous nursing based on information-knowledge-attitude-practice(IKAP)theory in patients after cerebrovascular intervention.Methods:From January 2019 to April 2021,80 patients who underwent cerebrovascular intervention were selected for the prospective study.According to the random number table method,they were divided into control group and observation group,50 cases in each group.The control group was received routine nursing,while the observation group was received the continuous nursing based on IKAP theory.The disease knowledge awareness rate,the daily activity ability[Barthel index(BI)]score,the self-management ability score,and the sleep quality[Pittsburgh sleep quality index(PSQI)]score were compared between the two groups before and after the nursing.Results:The disease knowledge awareness rate in the observation group was 92.00% (46/50),which was higher than 76.00% (38/50)in the control group,and the difference was statistically significant(P<0.05).After 1,2 and 3 months of nursing,the BI scores of the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of self-management ability in the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the PSQI scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:The continuous nursing based on IKAP theory in the patients after cerebrovascular intervention can improve the disease knowledge awareness rate,the daily living ability scores and the self-management ability scores,and reduce the sleep quality scores.Moreover,it is superior to the routine nursing.

Information-knowledge-attitude-practice theoryContinuous nursingCerebrovascular interventionDisease knowledgeSelf-managementSleep quality

王群

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沈阳医学院附属第二医院神经外科,辽宁 沈阳 110002

信息-知识-信念-行为理论 延续性护理 脑血管介入术 疾病知识 自我管理 睡眠质量

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(4)
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