基于IKAP模式的护理结合积极心理干预对妊娠期甲减患者病情控制及疾病感知的影响  

Effects of nursing based on IKAP model combined with positive psychological intervention on disease control and disease perception in patients with hypothyroidism during pregnancy

作　　者：刘银 何贝贝 马亚峰[1] LIU Yin;HE Beibei;MA Yafeng(the First Hospital of Yulin,Yulin 719000,China)

机构地区：[1]榆林市第一医院,陕西榆林719000

出　　处：《临床医学研究与实践》2024年第16期150-153,共4页Clinical Research and Practice

基　　金：2020年科学技术研究与开发项目(No.YF-2020-042)。

摘　　要：目的探讨基于信息-知识-信念-行为(IKAP)模式的护理结合积极心理干预在妊娠期甲减患者中的应用效果。方法选取2020年6月至2022年6月我科收治的70例妊娠期甲减患者,根据护理方式不同将其分为对照组和观察组,各35例。对照组实施常规护理,观察组实施基于IKAP模式的护理结合积极心理干预。比较两组的干预效果。结果干预后,观察组的促甲状腺激素(TSH)水平低于对照组,游离三碘甲状原氨酸(FT_(3))、游离甲状腺素(FT_(4))水平高于对照组(P<0.05)。干预后,观察组的简化疾病感知量表(BIPQ)各维度评分低于对照组(P<0.05)。干预后,观察组的知信行、中文版Connor-Davidson心理韧性量表(CD-RISC)评分均高于对照组(P<0.05)。观察组的不良妊娠结局总发生率低于对照组(P<0.05)。结论基于IKAP模式的护理结合积极心理干预可提高妊娠期甲减患者的病情控制效果,改善疾病感知情况。Objective To explore the application effect of nursing based on information-knowledge-attitude-practice(IKAP)model combined with positive psychological intervention in patients with hypothyroidism during pregnancy.Methods A total of 70 patients with hypothyroidism during pregnancy admitted in our department from June 2020 to June 2022 were selected and divided into control group and observation group according to different nursing methods,with 35 cases in each group.The control group was given routine nursing,and the observation group was given nursing based on IKAP model combined with positive psychological intervention.The intervention effects of the two groups were compared.Results After intervention,the level of thyroid-stimulating hormone(TSH)in the observation group was lower than that in the control group,and the levels of free triiodothyronine(FT_(3))and free thyroxine(FT_(4))were higher than those in the control group(P<0.05).After intervention,the each dimension of Brief Illness Perception Questionnaire(BIPQ)scores in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of knowledge,attitude and practice,and Chinese version of Connor-Davidson Resilience Scale(CD-RISC)in the observation group were higher than those in the control group(P<0.05).The total incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group(P<0.05).Conclusion Nursing based on IKAP model combined with positive psychological intervention can improve the effect of disease control and disease perception in patients with hypothyroidism during pregnancy.

关 键 词：基于IKAP模式的护理 积极心理干预 妊娠期甲减 病情控制 疾病感知 

分 类 号：R473[医药卫生—护理学]