基于IKAP模式的护理干预改善下肢动脉硬化闭塞症患者睡眠质量的效果研究  

Study on the application effect of nursing intervention based on IKAP model in improving sleep quality of patients with lower extremity arteriosclerosis obliterans

作　　者：柏霞 潘力生[1] 朱传凤[1] 项婷婷 刘娟[2] BAI Xia;PAN Lisheng;ZHU Chuanfeng;XIANG Tingting;LIU Juan(Vascular surgery,Anqing Medical Center,Anhui Medical University,Anqing 246003;Urinary surgery,Anqing Medical Center,Anhui Medical University,Anqing 246003,China)

机构地区：[1]安徽医科大学安庆医学中心血管外科,246003 [2]安徽医科大学安庆医学中心泌尿外科,246003

出　　处：《中国老年保健医学》2023年第5期151-155,共5页Chinese Journal of Geriatric Care

基　　金：安徽医科大学2019年度校科研基金项目(编号:2019xkj232)。

摘　　要：目的探讨基于IKAP模式的护理干预在改善下肢动脉硬化闭塞症(LEASO)患者睡眠质量中的应用效果。方法选取2022年2月至2023年2月本院收治的86例LEASO患者为研究对象,按照就诊顺序编号后,采用随机数字表法分为观察组(n=43)和对照组(n=43)。对照组患者采取常规护理措施,观察组予以基于IKAP模式的护理干预。采用匹兹堡睡眠质量指数(PSQI)、视觉模拟评分(VAS)、简易体能测试(SPPB)、自我护理能力测定量表(ESCA)、领悟社会支持量表(PSSS)评估两组干预前后的睡眠质量、疼痛程度、下肢功能、自我护理能力及领悟社会支持得分的差异性。结果经过干预后,两组PSQI与VAS得分较干预前下降,SPPB得分较干预前上升(P<0.05),观察组干预后PSQI与VAS得分明显低于对照组,SPPB得分显著高于对照组(P<0.001)。两组干预后ESCA量表各维度得分及总分较干预前上升(P<0.05),观察组干预后ESCA量表各维度得分及总分显著高于对照组(P<0.001)。两组干预后PSSS量表各维度得分及总分较干预前上升(P<0.05),观察组干预后PSSS量表各维度得分及总分显著高于对照组(P<0.001)。结论将基于IKAP理论的护理干预方案应用于LEASO患者,可有效改善睡眠质量和疼痛症状,促进下肢功能恢复,提高自我护理能力和领悟社会支持水平。Objective To explore the application effect of nursing intervention based on IKAP model in improving sleep quality of patients with lower extremity arteriosclerosis obliterans(LEASO).Methods 86 patients with LEASO admitted to our hospital from February 2022 to February 2023 were selected as the research objects.After numbering according to the order of treatment,they were divided into observation group(n=43)and control group(n=43)by random number table method.The control group received routine nursing measures,and the observation group received nursing intervention based on IKAP model.The Pittsburgh sleep quality index(PSQI),visual analogue scale(VAS),simple physical fitness test(SPPB),self-care ability scale(ESCA)and perceived social support scale(PSSS)were used to evaluate the difference of sleep quality,pain degree,lower limb function,self-care ability and perceived social support scores between the two groups before and after intervention.Results After intervention,the PSQI and VAS scores of the two groups were lower than those before intervention,and the SPPB score was higher than that before intervention(P<0.05).The PSQI and VAS scores of the observation group were significantly lower than those of the control group,and the SPPB score was significantly higher than that of the control group(P<0.001).After intervention,the scores of each dimension and total score of ESCA scale in the two groups were higher than those before intervention(P<0.05),and the scores of each dimension and total score of ESCA scale in the observation group were significantly higher than those in the control group(P<0.001).After intervention,the scores of each dimension and total score of PSSS scale in the two groups were higher than those before intervention(P<0.05),and the scores of each dimension and total score of PSSS scale in the observation group were significantly higher than those in the control group(P<0.001).Conclusion Applying the nursing intervention program based on IKAP theory to LEASO patients can effectively improve sl

关 键 词：下肢动脉硬化闭塞症 IKAP模式 护理干预 睡眠质量 

分 类 号：R473.5[医药卫生—护理学]