目的:探讨基于信息、知识、态度、实践(information，knowledge，attitude and practice，IKAP)理论的护理干预对脑膜瘤切除术后患者护理效果、负性情绪及生活质量的影响。方法:选择 2018 年 6 月—2023 年 6 月于南京医科大学附属苏州医院进行脑膜瘤切除术的 108 例患者作为研究对象，通过随机数表法将患者分为对照组(n=54)和研究组(n=54)。对照组接受常规术后护理，而研究组在对照组基础上给予基于IKAP理论的护理干预。比较两组术后首次排气、排便、下床时间及住院时间，术后并发症发生情况，负性情绪[焦虑自评量表(self-rating anxiety scale，SAS)和抑郁自评量表(self-rating depression scale，SDS)]及生活质量[36 项健康调查问卷(the 36-item short form health survey，SF-36)]。结果:研究组术后首次排气、排便、下床时间及住院时间短于对照组，术后并发症发生率低于对照组，干预 3 个月后SDS评分、SAS评分低于对照组，SF-36 各维度评分均高于对照组，差异有统计学意义(P<0。05)。结论:基于IKAP理论的护理干预可以更有效地促进脑膜瘤切除术后患者的生理康复，减少并发症的发生，同时也有助于改善情绪状态和生活质量。
Impact of Nursing Intervention Based on IKAP Theory on Nursing Effect,Negative Emotion and Quality of Life of Patients after Meningioma Resection
Objective:To explore the impact of nursing intervention based on information,knowledge,attitude and practice(IKAP)theory on nursing effect,negative emotion and quality of life of patients after meningioma resection.Method:A total of 108 patients who underwent meningioma resection in Suzhou Hospital Affiliated to Nanjing Medical University from June 2018 to June 2023 were selected as the study subjects,the patients were divided into the control group(n=54)and the study group(n=54)by random number table method.The control group was given routine postoperative nursing,while the study group was given nursing intervention based on IKAP theory on the basis of the control group.The times of first exhaust,defecation and getting up after operation and hospitalization time,postoperative complications,negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]and quality of life[the 36-item short form health survey(SF-36)]were compared between two groups.Result:The times of first exhaust,defecation and getting up after operation and hospitalization time in the study group were shorter than those in the control group,the incidence of postoperative complications was lower than that in the control group,the SDS score and SAS score after 3 months of intervention were lower than those in the control group,and the scores of SF-36 in all dimensions were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Nursing intervention based on IKAP theory can more effectively promote the physiological rehabilitation of patients after meningioma resection,reduce the occurrence of complications,and also help to improve the emotional state and quality of life.
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