KAB与KAP医学行为管理学模式在角膜塑形术治疗中的应用  

The application of the KAB and KAP medical behavior management in the orthokeratology treatment

作　　者：郭曦[1] 杨丽娜[1] 谢培英[1] 

机构地区：[1]北京大学医学部眼视光学研究中心,100027

出　　处：《眼科》2014年第5期292-294,共3页Ophthalmology in China

摘　　要：医学行为管理学是从医学的角度出发对患者的心理活动及身体行动进行干预和管理的科学,包括"知识-态度-行为(knowledge-attitude-behaviour,KAB)"和"知识-态度-实践(knowledge-attitude-practice,KAP)"两种运行模式,即指在患者充分理解治疗原理的基础上,树立患者对疾病正确、积极的认知态度,并在整个实际治疗过程中最大程度上争取患者的心理及身体行为配合。目前此种医学行为管理模式主要应用于儿童治疗,目的是提高儿童患者的依从性,保障治疗的安全与有效。角膜塑形镜验配的各环节都渗透着对医学行为管理学介入的需求。本文将对医学行为管理学模式(KAB与KAP模式)在角膜塑形镜治疗中所发挥的指导性作用,从医患沟通、验配、摘戴教育、随访复查四大治疗环节方面进行论述。另外,统计分析患者接受验配医师讲解前后对角膜塑形术治疗认识、理解程度评分及验配医师对患者在医患沟通前后的依从性评分,验证医学行为管理对角膜塑形术治疗的积极导向作用。Medical behavior management is an intervention and management science to the patient＇s mental and physical activity from the medical point of view, which includes the two modes of KAB （knowledge-attitude-behavior） and KAP （knowledge-attitude-prac- tice）. Based on the patient＇s full understanding of the treatment principle, these methods establish the patient＇s correct opinions of the disease, which will ensure the patient＇s mental and physical maximum extent cooperation during the actual treatment process. The medical behavior management is mainly used for the children treatment to improve the pediatric patient＇s compliance and improve the treatment safety and effect. Medical behavior management is required in each step of the orthokeratology. We are trying to apply the medical behavior management （KAB and KAP） to the orthokeratology in current paper. The medical behavior management is playing a guiding role in the doctor-patlent communication, fitting, pick-wearing education, follow-up review. In addition, the statistical analysis was also performed on results such as the patient＇s knowledge and understanding before and after practitioners＇s good explanation, the practition- er＇s assessment to the patient＇s complying. The results show that the medical behavior management plays a positive guiding role for the orthokeratology treatment.

关 键 词：角膜塑形术 医学行为管理学 角膜塑形镜 医患沟通 知识-态度-行为 知识-态度-实践 

分 类 号：R779.6[医药卫生—眼科]