首页|KAP-HBM联合干预模式应用于结肠镜检查患者中的效果

KAP-HBM联合干预模式应用于结肠镜检查患者中的效果

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目的:探讨知信行-健康信念(KAP-HBM)联合干预模式应用于结肠镜检查患者中的效果。方法:回顾性选取 2021 年 4 月—2023 年 4 月中国人民解放军联勤保障部队第九一〇医院收治的 100 例结肠镜检查患者的资料。根据干预方式的不同将其分为对照组和观察组,各 50 例。对照组采用常规干预模式,观察组采用KAP-HBM联合干预模式。比较两组肠道准备质量和肠道准备依从性,干预前后心理状态及不良反应。结果:对照组肠道准备充分占比为 76。00%(38/50),低于观察组的 92。00%(46/50),差异有统计学意义(x2=4。761,P=0。029)。观察组Boston肠道准备量表(BBPS)评分、饮食准备、服药准备评分及总分均高于对照组,差异有统计学意义(P<0。05)。干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于干预前,观察组SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0。05)。观察组不良反应发生率(4。00%)低于对照组(18。00%),差异有统计学意义(P<0。05)。结论:KAP-HBM联合干预模式能够提高结肠镜检查患者的肠道准备质量和依从性,改善患者的心理状态,减少不良反应的发生。
Effect of KAP-HBM Combined Intervention Model in the Application of Patients Undergoing Colonoscopy
Objective:To explore the effect of knowledge,belief,and action-health beliefs(KAP-HBM)combined intervention model in the application of patients undergoing colonoscopy.Method:The data of 100 patients undergoing colonoscopy admitted to the 910th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force from April 2021 to April 2023 was retrospectively selected.According to the different intervention methods,they were divided into control group and observation group,50 cases in each group.The control group was treated with conventional intervention model,and the observation group was treated with KAP-HBM combined intervention model.The quality and compliance of intestinal preparation,psychological state before and after intervention and adverse reactions were compared between the two groups.Result:The proportion of adequate intestinal preparation in control group was 76.00%(38/50),which was lower than 92.00%(46/50)in observation group,and the difference was statistically significant(x2=4.761,P=0.029).the Boston bowel preparation scale(BBPS)score,diet preparation,drug preparation scores and total scores in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups were lower than those before intervention,and the scores of SAS and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in observation group(4.00%)was lower than that(18.00%)in control group,and the difference was statistically significant(P<0.05).Conclusion:The KAP-HBM combined intervention mode can improve the quality of intestinal preparation and compliance of patients with colonoscopy,improve the psychological state of patients,and reduce the occurrence of adverse reactions.

Knowledge,belief,and action-healthy beliefsColonoscopyIntestinal preparationMental state

张佳蓉、李小玲、阳周、洪彩燕、陈艳萍、庄云英

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中国人民解放军联勤保障部队第九一〇医院 福建 泉州 362000

知信行-健康信念 结肠镜 肠道准备 心理状态

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(5)
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