基于IKAP理论的健康护理在冠心病介入治疗患者中的应用效果  

Application effects of health nursing based on IKAP theory in patients with coronary heart disease undergoing interventional therapy

作　　者：刘永泉 LIU Yongquan(Catheterization Room of Zhengzhou Hospital of Traditional Chinese Medicine,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市中医院导管室,河南郑州450000

出　　处：《中国民康医学》2024年第22期174-176,189,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于信息-知识-信念-行为(IKAP)理论的健康护理在冠心病介入治疗患者中的应用效果。方法:选取2020年1月至2022年9月该院收治的106例行冠状动脉介入治疗的冠心病患者进行前瞻性研究,按照随机数字表法将其分为对照组与观察组各53例。对照组采用常规护理,观察组在对照组基础上采用基于IKAP理论的健康护理,比较两组护理前后6 min步行试验距离、健康行为[健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)]评分,以及不良事件发生率。结果:护理3个月后,两组6 min步行试验距离均长于护理前,且观察组长于对照组,差异有统计学意义(P<0.05);护理3个月后,两组健康责任、人际关系、压力管理、体育运动、精神成长、营养等HPLP-Ⅱ评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率为7.55%(4/53),低于对照组的30.19%(16/53),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用基于IKAP理论的健康护理应用于冠心病介入治疗患者可延长6 min步行试验距离,提高健康行为评分,降低不良事件发生率,效果优于单纯常规护理。Objective:To observe application effects of health nursing based on information-knowledge-attitude-practice(IKAP)theory in patients with coronary heart disease undergoing interventional therapy.Methods:A prospective study was conducted on 106 patients with coronary heart disease who underwent coronary interventions in this hospital from January 2020 to September 2022.According to the random number table method,they were divided into control group and observation group,53 cases in each group.The control group was given routine nursing,while the observation group was given the health nursing based on IKAP theory on the basis of that of the control group.The 6 min walking test distance and the health behavior[health promoting lifestyle profile-Ⅱ(HPLP-Ⅱ)]scores before and after the nursing,and the incidence of adverse events during the nursing were compared between the two groups.Results:After 3 months of nursing,the 6 min walking test distance levels of the two groups were longer than those before the nursing,that in the observation group was longer than that in the control group and,the differences were statistically significant(P<0.05).After 3 months of nursing,the HPLP-Ⅱ scores of health responsibility,interpersonal relationship,stress management,sports,mental growth and nutrition in the two groups were higher than those before nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse events in the observation group was 7.55%(4/53),which was lower than 30.19%(16/53)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the health nursing based on IKAP theory in the patients with coronary heart disease undergoing interventional therapy can prolong the distance of 6 min walking test,improve the scores of health behavior and reduce the incidence of adverse events.Moreover,it is superior to simple routine nursing.

关 键 词：冠心病 冠状动脉介入治疗 信息-知识-信念-行为理论 健康行为 6 min步行试验 

分 类 号：R541.4[医药卫生—心血管疾病]