基于IKAP模式的延续性护理在冠心病患者中的应用  

Application of continuous nursing based on IKAP model in patients with coronary heart disease

作　　者：朱艳霞[1] 王路 乔丹[1] 孙丽丽[1] Zhu Yanxia;Wang Lu;Qiao Dan;Sun Lili(Department of Cardiovascular Medicine,Jiaozuo People's Hospital,Henan Province,Jiaozuo 454150,China)

机构地区：[1]河南省焦作市人民医院心血管内科,454150

出　　处：《中华现代护理杂志》2021年第21期2888-2891,共4页Chinese Journal of Modern Nursing

摘　　要：目的:探讨基于信息-知识-信念-行为(IKAP)模式的延续性护理在冠心病患者中的应用效果。方法:采用便利抽样法选择2019年1月—2020年1月于焦作市人民医院心血管内科住院治疗的100例冠心病患者作为研究对象,根据随机数字表法将患者分为干预组和对照组,每组50例。对照组患者给予常规护理,干预组在常规护理的基础上给予基于IKAP模式的延续性护理。比较两组患者干预前后生活质量评定量表(SF-36)、SAS、SDS、治疗依从性问卷得分。结果:干预组患者干预后SF-36各维度得分、治疗依从性问卷得分高于对照组,差异有统计学意义(P<0.05)。干预组患者干预后SAS、SDS得分低于对照组,差异有统计学意义(P<0.01)。结论:基于IKAP模式的延续性护理可有效提高冠心病患者的生活质量及治疗依从性,缓解患者的不良情绪,值得临床推广应用。Objective To explore the application effect of continuous nursing based on information,knowledge,attitude and practice(IKAP)model in patients with coronary heart disease.Methods Using the convenient sampling method,a total of 100 patients with coronary heart disease who were hospitalized in Department of Cardiovascular Medicine in Jiaozuo People's Hospital were selected as the research objects from January 2019 to January 2020.According to the random number table method,the patients were divided into the intervention group and the control group with 50 cases in each group.The patients in the control group were given routine nursing,while patients the intervention group were given continuous nursing based on IKAP mode on the basis of routine nursing.Scores of the MOS Item Short From Health Survey(SF-36),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Treatment Compliance Questionnaire were compared between the two groups before and after nursing intervention.Results After the intervention,scores of each dimension of SF-36 and Treatment Compliance Questionnaire of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).The SAS and SDS scores of patients in the intervention group were lower than those in the control group after intervention,and the differences were statistically significant(P<0.01).Conclusions Continuous nursing based on IKAP model can effectively improve the quality of life and treatment compliance of patients with coronary heart disease and relieve the adverse mood of patients,which is worthy of clinical promotion and application.

关 键 词：冠心病 IKAP模式 延续性护理 生活质量 焦虑 抑郁 

分 类 号：R473.5[医药卫生—护理学]