信息知识信念行为模式护理干预对围手术期胃癌患者心理状态的影响  

Effect of IKAP-Pattern nursing intervention on mental state of perioperative patients with gastric cancer

作　　者：饶芸[1] 朱金明[1] 程琳[1] 徐春霞[1] 

机构地区：[1]第三军医大学西南医院普通外科,重庆400038

出　　处：《中国行为医学科学》2004年第6期688-689,共2页Chinese Journal of Behavioral Medical Science

摘　　要：目的 探讨围手术期胃癌患者焦虑、抑郁、恐惧心理状态及信息知识信念行为 (IKAP)模式护理干预对其产生的影响。方法 对 86例胃癌患者进行术前心理评估并随机分为两组,各 43例。实验组在围手术期进行IKAP健康教育模式护理干预,即信息(information) 知识 (knowledge) 信念 (attitude) 行为(practice)模式;对照组采用传统健康教育模式护理干预。观察干预前、后两组胃癌患者焦虑、抑郁、恐惧心理的变化。结果 各组约 30%以上的患者存在抑郁、焦虑、恐惧心理,且评分≥50分。采用 2种护理干预模式均可不同程度纠正患者的以上不良情绪(P< 0. 01或P< 0. 05),且经IKAP模式干预后患者的焦虑、抑郁、恐惧状态评分 ( 38. 29±10. 04、35. 92±8. 62、30. 15±11. 42 )以及≥ 50分者的构成比 ( 18. 6%、11. 6%、4. 7% )皆低于传统模式干预组患者的相应值(45. 93±10. 15、42. 69±9. 87、37. 84±12. 69、39. 5%、32. 6%、18. 6% ),统计学差异显著(P< 0. 05)。同时,IKAP模式干预组患者对治疗的满意度 (74. 4% )远高于传统模式干预组(39. 5% ),统计学差异非常显著 (P< 0. 01 )。结论 积极运用IKAP模式进行护理干预能有效改善患者情绪,利于其躯体疾病的治疗及生存质量的提高。ObjectiveTo study the effect of IKAP-pattern nursing intervention on mental state of perioperative patients with gastric cancer, such as anxiety, depression and fear. Methods86 perioperatvie patients with gastric cancer were divided into two random groups and assessed with STAI(state-trait anxiety inventory), SDS(self-rating depression scale) and VAS(visual analogue scale) for anxiety, depression and fear individually. 43 patients in experiment group received IKAP-pattern nursing intervention of health education, including information(I), knowledge(K), attitude(A), practice(P), while the other 43 patients in control group received traditional-pattern nursing intervention of health education. One month after operation, all patients were assessed with same instruments again.ResultsAbove 30 percent of patients with scores of 50 in each group existed bad mood of anxiety, depression and fear. Applying two kinds of nursing intervention could rectify them in different degrees(P<0.01 or P<0.05), but both the scores of anxiety, depression and fear degree(38.29±10.04,35.92±8.62,30.15±11.42) and their composing ratio of patients(18.6%,11.6%,4.7%) in experiment group were lower than the corresponding values(45.93±10.15,42.69±9.87,37.84±12.69,39.5%,32.6%,18.6%) in control group(P<0.05). Simultaneously the satisfaction degree of patients(74.4%) in experiment group was more higher than that(39.5%) in control group(P<0.01). ConclusionIKAP-pattern nursing intervention can relieve bad mood of perioperative patients with gastric cancer, which do good to their therapy of body disease and quality of life.

关 键 词：护理干预 胃癌患者 围手术期 抑郁 治疗 焦虑 健康教育模式 信息知识 恐惧心理 传统模式 

分 类 号：R473.73[医药卫生—护理学]