信息-知识-信念-行为干预模式对早期食管癌患者内镜黏膜下剥离术后康复信念与健康行为的影响  

Effect of information-knowledge-attitude-practice intervention mode on rehabilitation beliefs and health behaviors of patients with early esophageal cancer after endoscopic submucosal dissection

作　　者：范颖英[1] 孙娟[2] 张彩凤[1] 姬娟娟 靳玉红[1] 常勇生 张超群 Fan Yingying;Sun Juan;Zhang Caifeng;Ji Juanjuan;Jin Yuhong;Chang Yongsheng;Zhang Chaoqun(The First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan,China)

机构地区：[1]新乡医学院第一附属医院,河南卫辉453100 [2]新乡医学院,河南新乡453003

出　　处：《临床心身疾病杂志》2024年第5期81-86,共6页Journal of Clinical Psychosomatic Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号LHGJ20210531)。

摘　　要：目的探讨信息-知识-信念-行为(IKAP)干预模式对早期食管癌患者内镜黏膜下剥离术后康复信念与健康行为的影响。方法将100例早期食管癌患者按照随机数字表法分为干预组与对照组,各50例。对照组患者接受食管癌的围术期常规干预,干预组实施IKAP干预模式。干预前后采用癌症患者自我感受负担量表(SPBS-CP)、Champion健康信念评估量表(CHBMS)、中文版健康行为能力自评量表(SRAHP)、食管癌患者生存质量量表评定两组患者的自我负担感受情况、康复信念情况、健康行为、生存质量。结果干预后,两组患者SPBS-CP总分及各维度评分均低于干预前,且干预组低于对照组(P<0.01)。干预后,两组患者CHBMS、SRAHP总分及各维度评分均高于干预前,且干预组高于对照组(P<0.05或0.01)。干预后,两组患者食管癌患者生存质量量表各维度评分均高于干预前,且干预组高于对照组(P<0.05或0.01)。结论IKAP干预模式通过系统的信息支持和健康教育,能有效降低早期食管癌患者内镜黏膜下剥离术后的自我感受负担,增强其康复信念,促进其健康行为,提升其生存质量。Objective To explore the effect of information-knowledge-attitude-practice(IKAP)intervention mode on rehabilitation beliefs and health behaviors of patients with early esophageal cancer after endoscopic submucosal dissection.Methods A total of 100 patients with early esophageal cancer were assigned to intervention and control group,with 50 ones in each.Controls received perioperative routine interventions for patients with esophageal cancer and intervention group did IKAP intervention mode.Before and after intervention self-burden perception,rehabilitation belief,health behaviors and quality of life were assessed using Self-Perceived Burden Scale for Cancer Patients(SPBS-CP),the Champion Health Belief Model Scale(CHBMS),Self-Rated Abilities for Health Practices Scale(SRAHP)and Scale of Life Quality for Patients with Esophageal Cancer(QOL),respectively.Results After intervention the total and each dimension scores of the SPBS-CP in both groups were lower compared with preintervention,so were those in intervention than control group(P<0.01).After intervention the total and each dimension scores of both CHBMS and SRAHP in both groups were higher compared with preintervention,so were those in intervention than control group(P<0.05or 0.01).After intervention each dimension scores of the QOL in both groups were higher compared with preintervention,so were those in intervention than control group(P<0.05 or 0.01).Conclusion The IKAP intervention mode effectively reduces the self-perceived burden of patients with early esophageal cancer after endoscopic submucosal dissection via systemic information support and health education,enhances their rehabilitation beliefs,and improves health behaviors and quality of life.

关 键 词：信息-知识-信念-行为模式 早期食管癌 自我感受负担 康复信念 健康行为 生存质量 

分 类 号：R735.1[医药卫生—肿瘤] R749.055[医药卫生—临床医学]