基于信息知识信念行为理论延续护理在消化性溃疡中的应用研究及对焦虑、抑郁评分的影响  

Study on the Application of Information Knowledge Attitude and Practice Theory Based Extended Care in Peptic Ulcer and its Effect on Anxiety and Depression Scores

作　　者：段微微 DUAN Wei-wei(Department of Gastroenterology,First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471000,China)

机构地区：[1]河南科技大学第一附属医院消化内科,河南洛阳471000

出　　处：《黑龙江医学》2023年第5期595-597,共3页Heilongjiang Medical Journal

摘　　要：目的:探究基于信息知识信念行为(IKAP)理论延续护理在消化性溃疡中的应用研究及对汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分的影响。方法:选择2020年11月—2021年4月河南科技大学第一附属医院收治的95例消化性溃疡患者作为研究对象,按照随机数表法分为对比组和研究组,对照组患者45例给予基础护理,研究组患者50例给予信息知识信念行为(IKAP)理论延续护理,对照分析两组患者护理效果。结果:护理前,两组患者自我监控评分比较,差异无统计学意义(t=0.264、0.410、1.044、0.688,P>0.05);护理后,研究组患者自我监控评分优于对照组患者,差异有统计学意义(t=17.603、11.696、9.795、9.455,P<0.05)。护理后,研究组患者医嘱遵从率高于对照组患者,差异有统计学意义(χ^(2)=5.643,P<0.05)。护理前,两组患者HAMA、HAMD评分比较,差异无统计学意义(t=0.452、0.585,P>0.05);护理后,研究组患者HAMA、HAMD评分优于对照组患者,差异有统计学意义(t=7.426、7.889,P<0.05)。护理后,研究组患者生存质量评分优于对照组患者,差异有统计学意义(t=10.207、8.274、8.406、6.411、10.935、6.211,P<0.05)。结论:临床消化性溃疡患者,接受基于IKAP理论延续护理干预,可加强患者遵医嘱率、自我监控能力,调整患者负性情绪,促进患者生活质量的提升,具有较为显著的临床意义。Objective:To investigate the study on the application of information knowledge attitude and practice(IKAP)based theory continuation care in peptic ulcer and the effect on Hamilton Anxiety Inventory(HAMA)and Hamilton Depression Inventory(HAMD)scores.Methods:95 patients with peptic ulcer admitted to the hospital from November 2020 to April 2021 were selected as study subjects and divided into control and study groups according to the random number table method.The patients in the con⁃trol group were given basic care in 45 cases,and the patients in the study group were given IKAP theory continuation care in 50 cases.The nursing effect of the two groups was compared and analyzed.Results:Before care,there was no statistically significant difference in the self-monitoring scores between the two groups(t=0.264,0.410,1.044,0.688,P>0.05).After care,the study group had higher self-monitoring scores than the control group,with statistically significant differences(t=17.603,11.696,9.795,9.455,P<0.05).After care,the compliance rate of medical advice was higher in the study group than in the control group,and the difference was statistically significant(χ^(2)=5.643,P<0.05).Before care,there was no statistically significant difference in HAMA and HAMD scores between the two groups(t=0.452,0.585,P>0.05).After care,the HAMA and HAMD scores of the study group were better than those of the control group,with statistically significant differences(t=7.426,7.889,P<0.05).After care,the study group had better quality-of-survival scores than the control group,with statistically significant differences(t=10.207,8.274,8.406,6.411,10.935,6.211,P<0.05).Conclusion:Patients with clinical peptic ulcer who receive extended care interventions based on the IKAP theory can strengthen the patients’compliance rate,self-monitoring ability,and adjust the patients’negative emotions while promoting the patients’quality of life,which has more significant clinical significance.

关 键 词：消化性溃疡 IKAP理论延续护理 自我监控 医嘱遵从率 

分 类 号：R473.57[医药卫生—护理学]