基于IKAP理念的健康管理模式对CHD患者康复效果、生活质量的影响  

Effect of IKAP theory-based health management mode on rehabilitation effect and quality of life in CHD patients

作　　者：王春玉 葛翠红 翁晓羽 魏进莲 WANG Chun-yu;GE Cui-hong;WENG Xiao-yu;WEI Jin-lian(Department of Cardiovascular Medicine,the First People's Hospital of Wuhu,Wuhu,Anhui,241000,China)

机构地区：[1]芜湖市第一人民医院心血管内科,安徽芜湖241000

出　　处：《心血管康复医学杂志》2025年第1期99-103,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探究基于信息-知识-信念-行为(IKAP)理念的健康管理模式对冠心病(CHD)患者的康复效果及生活质量的影响。方法:选择芜湖市第一人民医院心内一科2022年8月-2023年2月收治的首次行经桡动脉冠脉介入治疗的CHD患者160例,随机分为对照组(n=80,常规健康管理)和干预组(n=80,基于IKAP理念的健康管理模式),均干预1个月。对比两组视觉模拟评分(VAS)、疼痛发生频次、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、世界卫生组织生存质量测定简表(WHOQOL-BREF)、日常生活能力量表(ADL)评分及并发症发生率。结果:干预后,与对照组比较,干预组VAS评分[(2.15±0.34)分比(3.99±0.44)分]、疼痛发生频次[(1.37±0.30)次/d比(2.31±0.33)次/d]、HAMA[(9.21±0.65)分比(12.87±0.63)分]、HAMD[(8.87±0.52)分比(13.57±0.92)分]评分均显著降低,ADL[(78.32±2.95)分比(68.54±2.86)分]、WHOQOL-BREF[(311.54±10.73)分比(251.38±10.30)分]评分显著增加(P均<0.001)。干预组并发症发生率显著低于对照组(15.00%比31.25%,P=0.015)。结论:IKAP健康管理模式可有效改善CHD患者心理状态、生活自理能力,降低疼痛频率、并发症发生率并提高其生活质量。Objective:This article aims to investigate effect of information-knowledge-attitude-practice(IKAP)theory-based health management mode on rehabilitation effect and quality of life in patients with coronary heart disease(CHD).Methods:This randomized controlled study enrolled 160 CHD patients admitted in First Department of Cardiovascular Medicine,the First People's Hospital of Wuhu and first received,transradical artery percutaneous coronary intervention between August 2022 and February 2023.They were divided into control group(n=80,routine health management)and intervention group(n=80,IKAP theory-based health management mode),and both groups were intervened for 1 month.Visual Analogue Scale(VAS)score,frequency of pain attack,scores of Hamilton Anxiety scale(HAMA),Hamilton Depression scale(HAMD),World Health Organization Quality of Life BREF(WHOQOL-BREF)and Activities of Daily Living(ADL),and incidence of complications were compared between two groups.Results:After intervention,compared with patients in control group,those in intervention group had significant lower VAS score[(2.15±0.34)points vs.(3.99±0.44)points],frequency of pain attack[(1.37±0.30)times/d vs.(2.31±0.33)times/d],scores of HAMA[(9.21±0.65)points vs.(12.87±0.63)points]and HAMD[(8.87±0.52)points vs.(13.57±0.92)points],and significant higher scores of ADL[(78.32±2.95)points vs.(68.54±2.86)points]and WHOQOL-BREF[(311.54±10.73)points vs.(251.38±10.30)points](P<0.001 all).Incidence of complications in intervention group was significantly lower than that of control group(15.00%vs.31.25%,P=0.015).Conclusion:IKAP theory-based health management mode could effectively improve the psychological state and self-care ability of daily living,reduce frequency of pain attack and incidence of complications,and improve quality of life in CHD patients.

关 键 词：冠心病 康复 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]