IKAP健康宣教模式对PCOS不孕患者疾病认知、应对方式、健康行为的影响  

Influence of IKAP Health Education Model on Disease Cognition,Coping Style and Health Behavior of PCOS Infertility Patients

作　　者：张玉珍[1] 林晓燕[1] ZHANG Yuzhen;LIN Xiaoyan(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China;不详)

机构地区：[1]厦门大学附属第一医院,福建厦门361003

出　　处：《中外医学研究》2023年第22期97-100,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建省科技创新平台建设计划项目(2021Y2019)。

摘　　要：目的:观察信息-知识-信念-行为(IKAP)健康宣教模式对多囊卵巢综合征(PCOS)不孕患者疾病认知、应对方式、健康行为的影响。方法:选取厦门大学附属第一医院2020年10月-2021年10月收治的130例PCOS不孕患者为研究对象,采用抽签法将患者分为观察组和对照组,各65例。对照组接受常规干预,观察组接受IKAP健康宣教模式干预,两组均干预4周。比较两组患者疾病认知(疾病知识知晓率)、应对方式[医学应对方式问卷(MCMQ)]、健康行为[健康促进生活方式量表中文修订版(HPLP-ⅡR)],随访1年内妊娠率。结果:干预4周时,观察组疾病知识知晓率高于对照组,差异有统计学意义(P<0.05)。干预4周时,两组MCMQ面对维度得分均高于干预前,且观察组高于对照组,两组MCMQ回避、屈服维度得分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预4周时,两组HPLP-ⅡR各维度得分及总分均高于本组干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组随访1年内妊娠率高于对照组,差异有统计学意义(P<0.05)。结论:IKAP健康宣教模式能提高PCOS不孕患者疾病认知,有助于引导其积极面对疾病,调整健康生活方式,从而促进妊娠。Objective:To observe the influence of information-knowledge-belief-behavior(IKAP)health education model on the disease cognition,coping style and health behavior of infertile patients with polycystic ovary syndrome(PCOS).Method:A total of 130 cases of PCOS infertility patients admitted to the First Affiliated Hospital of Xiamen University from October 2020 to October 2021 were selected as the objects.They were divided into the observation group and the control group by drawing lots,with 65 cases in each group.The control group received routine intervention,and the observation group received IKAP health education model intervention.Both groups were intervened for 4 weeks.The disease cognition(disease knowledge awareness rate),coping style[medical coping style questionnaire(MCMQ)]and health behavior[health promotion lifestyle scale Chinese revision(HPLP-ⅡR)]of the two groups were compared.The pregnancy rate was followed up for 1 year.Result:At 4 weeks of intervention,the awareness rate of disease knowledge was higher than that of the control group,the difference was statistically significant(P<0.05).At 4 weeks of intervention,the scores of face to face dimension of MCMQ in both groups were higher than those before intervention,and the score of the observation group was higher than that of the control group,while the scores of avoidance and surrender dimensions of MCMQ were lower than those before intervention,and the scores in the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After 4 weeks of intervention,HPLP-ⅡR scores and total scores in both groups were higher than those before intervention,and the scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The pregnancy rate in the observation group was higher than that in the control group within 1 year of follow-up,the difference was statistically significant(P<0.05).Conclusion:IKAP health education model can improve

关 键 词：信息-知识-信念-行为理论 多囊卵巢综合征 健康宣教 

分 类 号：R473.71[医药卫生—护理学]