IKAP模式对癫痫手术患者院外生命质量及服药依从性的影响  

Effect of the IKAP-based nursing on the out-of-hospital quality of life and medication compliance in epilepsy surgery patients

作　　者：刘志敏[1] 桑琳霞[1] 李文玲[1] 闫中杰[1] LIU Zhimin;SANG Linxia;LI Wenling(Department of Neurosurgery,the Second Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院神经外科,石家庄市050000

出　　处：《河北医药》2023年第24期3811-3813,3818,共4页Hebei Medical Journal

基　　金：河北省医学科学研究课题计划(编号:20190049);河北省医学科学研究课题计划(编号:20230030);河北省自然科学基金资助项目(编号:H2021206449)。

摘　　要：目的探讨信息—知识—信念—行为(IKAP)模式护理对癫痫手术患者出院后生命质量及服药依从性的影响。方法收集2019年1月至2020年6月住院手术的癫痫患者95例作为研究对象,将其随机均分为对照组与试验组,对照组采用常规出院健康教育,试验组患者则采用出院后IKAP模式护理。患者出院6个月后,采用癫痫患者生活质量评定量表评定患者生活质量,采用服药依从性量表评定患者用药依从性,采用癫痫自我管理行为量表评定患者的自我管理效能。比较2组患者的生活质量与服药依从性。结果2组患者在性别、年龄、病程长短、癫痫类型方面比较,差异无统计学意义(P>0.05)。试验组患者生活质量好于对照组,各项生活质量评定得分均高于对照组(P<0.05),试验组高服药依人数比例高于对照组(P<0.05),试验组患者的自我管理效能高于对照组(P<0.05)。结论对癫痫手术患者采用IKAP模式护理,能提高出院后生活质量及服药依从性,促进患者家庭生活和社会功能的恢复。Objective To explore the effect of the information-knowledge-attitude-practice(IKAP)-based nursing on the out-of-hospital quality of life and medication compliance of epilepsy surgery patients.Methods A total of 95 hospitalized epilepsy patients who underwent surgery in the hospital from January 2019 to June 2020 were recruited.They were randomly divided into the control group and the experimental group.Patients in the control group were given routine discharge health education,and those in the experimental group were given IKAP-based nursing after discharge.Six months after discharge,the quality of life,medication compliance and self-management effectiveness were assessed by the Quality of Life in Epilepsy Inventory-31(QOLIE-31),the medication compliance scale,and the Epilepsy Self-management Scale(ESMS),respectively.The quality of life and medication compliance were compared between groups.Results There were no significant differences in the gender,age,duration of illness,and type of epilepsy between the two groups(P>0.05).The quality of life of the experimental group was significantly better than that of the control group,with the significantly higher QOLIE-31 score(P<0.05).The proportion of patients with a high medication compliance in the experimental group was significantly higher than that of the control group(P<0.05),and the ESMS score was also significantly higher(P<0.05).Conclusion IKAP-based nursing model can improve the quality of life and medication compliance of patients after epilepsy surgery,which significantly promotes the recovery of daily life and social function.

关 键 词：IKAP护理 癫痫外科 生命质量 生活自理能力 

分 类 号：R742.1[医药卫生—神经病学与精神病学]