基于KAP理论的预见性护理在白内障行人工晶状体植入术患者中的应用  

Application of Foreseeable Nursing based on KAP Theory in Cataract Patients with Intraocular Lens Implantation

作　　者：周曾 陈文莺 杜婷 Zhou Zeng;Chen Wenying;Du Ting(Affiliated Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology,Wuhan Hubei)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430000

出　　处：《齐鲁护理杂志》2024年第16期29-32,共4页Journal of Qilu Nursing

摘　　要：目的:探讨基于知识-信念-行为(KAP)理论的预见性护理在白内障行人工晶状体植入术患者中的应用效果。方法:选取2020年3月1日~2021年12月1日接受人工晶状体植入术治疗的白内障患者120例,按照随机数字表法分为对照组和观察组各60例,对照组实施常规护理,观察组在对照组基础上实施基于KAP理论的预见性护理;比较两组术后并发症发生率、视力恢复情况、心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)]、护理满意度。结果:观察组术后并发症发生率低于对照组(P<0.05);观察组术后1周、1个月、3个月视力恢复情况优于对照组(P<0.05);术后1周、1个月,观察组SAS、SDS、PSQI评分低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论:基于KAP理论的预见护理可以有效降低白内障患者人工晶状体植入术后并发症发生率,促进视力恢复,改善心理状态和睡眠质量,提高护理满意度。Objective:To explore the application effect of foreseeable nursing based on knowledge-attitude-practice(KAP)theory on cataract patients with intraocular lens implantation.Methods:A total of 120 cataract patients who received intraocular lens implantation from March 1,2020 to December 1,2021 were selected and divided into a control group and an observation group according to the random number table method,with 60 cases in each group.The routine nursing care was used in the control group,and the foreseeable nursing based on KAP theory was additionally conducted in the observation group.The incidence of postoperative complications,visual recovery,psychological state using Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS),sleep quality using Pittsburgh sleep quality index(PSQI)and nursing satisfaction were compared between the two groups.Results:The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).The visual acuity of the observation group was better than that of the control group in one week,one month and 3 months after operation(P<0.05).After one week and one month,the SAS,SDS and PSQI scores of the observation group were lower than those of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that in the control group(P<0.05).Conclusion:The foreseeable nursing based on KAP theory can effectively reduce the incidence of complications after intraocular lens implantation in cataract patients,promote visual recovery,improve mental state and sleep quality and nursing satisfaction as well.

关 键 词：白内障 人工晶状体植入术 预见护理 KAP理论 睡眠质量 满意度 

分 类 号：R473.77[医药卫生—护理学]