KAP护理模式应用于结直肠癌患者中的干预效果及对其知信行水平的影响

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中文摘要：目的:探讨结直肠癌患者采取知信行(knowledge，attitude，practice，KAP)护理模式的干预效果对其知信行水平的影响。方法:选取 2021 年 6 月—2023 年 5 月南京医科大学附属无锡人民医院收治的 158 例结直肠癌患者作为研究对象，以随机数表法将患者分为对照组与观察组，各 79 例。对照组实施常规护理干预，观察组实施KAP护理模式。比较两组胃肠功能恢复情况、睡眠质量、疲乏程度、焦虑、抑郁、自我效能感、生活质量、复查依从性及并发症。结果:观察组干预后首次排气时间、进食时间及肠鸣音恢复时间短于对照组，差异有统计学意义(P<0。05);干预后，两组匹兹堡睡眠质量指数(Pittsburgh sleep quality index，PSQI)评分、Piper疲乏自我评估量表(Piper's fatigue scale，PFS)评分、汉密尔顿焦虑量表(Hamilton anxiety scale，HAMA)评分、汉密顿抑郁量表(Hamilton depression scale，HAMD)评分低于干预前，且观察组低于对照组，两组自我效能感量表(general perceived self-efficacy scale，GSES)评分、世界卫生组织生活质量简表(World Health Organization quality of life-brief，WHOQOL-BREF)评分高于干预前，且观察组高于对照组，差异有统计学意义(P<0。05);观察组复查总依从率高于对照组，并发症发生率低于对照组，差异有统计学意义(P<0。05)。结论:结直肠癌患者应用KAP护理模式可促进胃肠功能恢复，提高知信行水平，改善负性情绪，提高自我效能及复查依从性，提高生活质量。

外文标题：Intervention Effect of KAP Nursing Model in Patients with Colorectal Cancer and Its Influence on Knowledge Attitude and Practice Level

外文摘要：Objective:To explore the intervention effect of knowledge,attitude,practice(KAP)nursing model in patients with colorectal cancer and its influence on knowledge attitude and practice level.Method:A total of 158 patients with colorectal cancer who admitted to Wuxi People's Hospital Affiliated to Nanjing Medical University from June 2021 to May 2023 were selected as the research objects,the patients were divided into the control group and the observation group by random number table method,with 79 cases in each group.The control group was given routine nursing intervention,and the observation group was given KAP nursing mode.The recovery of gastrointestinal function,sleep quality,fatigue,anxiety,depression,self-efficacy,quality of life,review compliance and complications were compared between two groups.Result:The first exhaust time,eating time and bowel sound recovery time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05);after intervention,the scores of Pittsburgh sleep quality index(PSQI),Piper's fatigue scale(PFS),Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)in two groups were lower than those before intervention,and those in the observation group were lower than those in the control group,the general perceived self-efficacy scale(GSES)scores and World Health Organization quality of life-brief(WHOQOL-BREF)scores of two groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the total review compliance rate of the observation group was higher than that of the control group,and the incidence of complications was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of KAP nursing model in patients with colorectal cancer can promote the recovery of gastrointestinal function,improve the level of knowledge attitude and practice,improve negative emotions,improve self-efficacy and review compliance,and improve the quality of life.

外文关键词：

KAP nursing modelColorectal cancerKnowledge,attitude and practice levelIntervention effectIntestinal function

作者：

胡阿云、董洪芳、孙文君

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作者单位：

南京医科大学附属无锡人民医院江苏无锡 214000

关键词：

KAP护理模式结直肠癌知信行水平干预效果肠功能

出版年：

2024

DOI：