目的 分析基于"知信行"模式(knowledge-attitude-belief-practice，KABP)的护理干预对胃大部切除术后患者胃镜检查心理和生理应激反应的影响。方法 选取福州市第一总医院2020年5月15日—2022年3月10日胃大部切除术后胃镜检查患者122例为研究对象。根据随机数字表法分为试验组与对照组，各61例。对照组实施常规护理干预，试验组在此基础上实施基于KABP模式的护理干预。比较2组干预前后医院焦虑抑郁量表(hospital anxiety and depression scale，HADS)评分、应激反应情况、配合度及一次性插镜成功率。结果 干预后，试验组焦虑、抑郁评分分别为(8。61±2。62)分、(8。46±2。76)分，低于干预前的(13。54±3。13)分、(13。18±3。01)分，且低于对照组的(12。97±3。21)分、(12。95±2。94)分，差异有统计学意义(P<0。05)。试验组收缩压、舒张压、心率低于干预前与对照组，差异有统计学意义(P<0。05)。试验组总配合度为95。08％，高于对照组的80。33％，差异有统计学意义(P<0。05)。试验组一次性插镜成功率为98。36％(60/61)，对照组一次性插镜成功率为90。16％(55/61)，差异无统计学意义(P>0。05)。结论 胃大部切除术后患者胃镜检查采用基于KABP模式的护理干预可改善患者不良心理状态，降低应激反应，稳定血压、心率，提高患者配合度和检查安全性。
Influence of Nursing Intervention Based on KABP Model on Gastroscopy Examination in Patients After Subtotal Gastrectomy
Objective To analyze the impact of nursing interventions based on the knowledge-attitude-belief-practice (KABP) model on the psychological and physiological stress responses of patients undergoing gastroscopy after subtotal gastrectomy. Methods A total of 122 patients who underwent gastroscopy after subtotal gastrectomy at Fuzhou First General Hospital from May 15,2020 to March 10,2022 were selected as the study subjects. According to random number table method,they were divided into experimental group and control group,61 cases in each group. The control group received routine nursing intervention,while the experimental group received nursing intervention based on the KABP model on this basis. The score of hospital anxiety and depression scale (HADS),stress response,cooperation and the success rate of one-time endoscopy were compared between the two groups before and after intervention. Results After intervention,the scores of anxiety and depression in the experimental group were (8.61±2.62) points and (8.46±2.76) points,lower than (13.54±3.13) points and (13.18±3.01) points before intervention,and lower than (12.97±3.21) points and (12.95±2.94) points in the control group,respectively,the differences were statistically significant (P<0.05). The systolic blood pressure,diastolic blood pressure and heart rate of experimental group were lower than before intervention and control group,and the differences were statistically significant (P<0.05). The total compatibility of experimental group was 95.08％,which was higher than 80.33％ of control group,and the difference was statistically significant (P<0.05). The success rate of one-time endoscopy in the experimental group was 98.36％ (60/61),and that in the control group was 90.16％ (55/61),the difference was not statistically significant (P>0.05). Conclusion Nursing interventions based on the KABP model can improve adverse psychological states,reduce stress reactions,stabilize blood pressure and heart rate,improve patient cooperation and examination safety in patients undergoing gastroscopy after subtotal gastrectomy.
after subtotal gastrectomynursing interventiongastroscopy"knowledge-attitude-belief-practice" modelhospital anxiety and depression scalestress response
万方数据
维普
