KAP联合Teach back教育模式在COPD患者中的应用研究  

Application of KAP combined with Teach back education model in COPD patients

作　　者：吴莉[1] 孙琰 童黎静 单玉娟 WU Li;SUN Yan;TONG Lijing;SHAN Yujuan(Department of Respiratory and Critical Care Medicine,Nanjing Second Hospital,Nanjing,Jiangsu 210003,China)

机构地区：[1]南京市第二医院呼吸与危重症医学科,江苏南京210003

出　　处：《现代医药卫生》2023年第13期2218-2221,共4页Journal of Modern Medicine & Health

摘　　要：目的 探讨知-信-行(KAP)联合Teach back教育模式在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法 选取某三级甲等医院呼吸科2020年3月至2021年11月收治的57例使用吸入剂用药的COPD患者作为研究对象,随机将其分为对照组(28例)与干预组(29例)。对照组采用常规用药指导模式,干预组在对照组的基础上融入KAP联合Teach back教育模式,比较2组吸入剂用药相关知识掌握情况、吸入剂用药过程中关键环节缺陷发生率及吸入剂用药依从性。结果 2组吸入剂用药相关知识掌握情况比较,差异有统计学意义(P<0.05)。2组吸入剂用药过程中关键环节(取合适体位、双唇包紧吸嘴、漱口除外)缺陷发生率比较,差异有统计学意义(P<0.05)。2组吸入剂用药依从性比较,差异有统计学意义(P<0.05)。结论 KAP联合Teach back教育模式提高了COPD患者吸入剂用药正确率及依从性。Objective To explore the application effect of knowledge-attitudes-practices(KAP)combined with Teach back education model in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 57 COPD patients treated with inhalers in the respiratory department of a tertiary A hospital from March 2020 to November 2021 were selected as the study subjects and randomly divided into the control group(28 cases)and the intervention group(29 cases).The control group adopted conventional medication guidance mode,while the intervention group incorporated KAP combined with Teach back education mode on the basis of the control group.The mastery of knowledge related to inhalant medication,defect incidence of key links in the process of inhalant medication,and compliance of inhalant medication were compared between the two groups.Results There was statistically significant difference in the mastery of knowledge related to inhaler medication between the two groups(P<0.05).There was statistically significant difference in the defect incidence of key links(except for taking appropriate positions,wrapping suction nozzle by two lips and gargling)in the process of inhalant medication between the two groups(P<0.05).There was statistically significant difference in compliance of inhalant medication between the two groups(P<0.05).Conclusion The combination of KAP and Teach back education model has improved the accuracy and compliance of inhalant medication in COPD patients.

关 键 词：KAP模式 Teach back教育模式 慢性阻塞性肺疾病 吸入剂 

分 类 号：R562.1[医药卫生—呼吸系统]