摘要
目的探讨基于IKAP理论的延续护理模式在脑血管介入术患者中的应用效果。方法采取方便抽样法选取2018年1月—2019年3月海南医学院第二附属医院行介入治疗的急性脑血管病患者210例,按入院时间分为对照组和干预组各105例。对照组进行常规护理,干预组在此基础上基于IKAP理论进行出院后3个月的延续护理,基本流程为收集信息(I)、传授知识(K)、加强观念(A)、促使行动(P),并通过微信开展随访。干预前后分别采用急性脑血管病知识调查问卷、Barthel指数评分量表、脑血管病自我管理量表进行测评。结果干预后,干预组患者知识知晓率为90.48%(95/105),高于对照组的80.00%(84/105),差异有统计学意义(P<0.05)。干预1、2、3个月时,干预组Barthel指数为(58.37±10.36)、(67.52±9.44)、(81.24±10.59)分,分别高于对照组的(55.39±11.34)、(64.30±11.34)、(77.93±9.82)分,差异有统计学意义(P<0.05)。干预后,干预组脑血管病自我管理量表总得分为(3.80±0.62)分,高于对照组的(3.60±0.65)分,差异有统计学意义(P<0.05)。结论对脑血管介入术患者进行基于IKAP理论的延续护理,可以提高患者疾病知识水平和自我管理能力,促进预后康复,进一步完善延续护理服务体系。
Objective To explore the effects of continuous nursing based on Information-Knowledge-Attitude-Practice(IKAP)theory in patients with cerebrovascular intervention.Methods From January 2018 to March 2019,this study selected 210 acute cerebrovascular disease(ACVD)patients with intervention at the Second Affiliated Hospital of Hainan Medical University by convenience sampling.All of patients were divided into control group and intervention group according to admission time,105 cases in each group.Control group carried out routine nursing.On the basis of that,intervention group implemented continuous nursing based on IKAP theory for three months after discharge;and the basic flow included collecting information,imparting knowledge,strengthening concept,promoting action,and following up through WeChat.The effects were evaluated with the Acute Cerebrovascular Disease Knowledge Questionnaire,the Barthel Index and Cerebrovascular Disease Self-management Scale before and after intervention.Results After intervention,the awareness rate of knowledge of patients in intervention group was 90.48%(95/105)higher than that(80.00%,84/105)in control group with a statistical difference(P<0.05).One,two and three months after intervention,the scores of the Barthel Index of intervention group were(58.37±10.36),(67.52±9.44)and(81.24±10.59)respectively higher than those[(55.39±11.34),(64.30±11.34)and(77.93±9.82)]of control group with statistical differences(P<0.05).Besides,the total score of Cerebrovascular Disease Self-management scale of intervention group was(3.80±0.62)statistically higher than that(3.60±0.65)of control group(P<0.05).Conclusions Application of IKAP based continuous nursing for patients with cerebrovascular intervention can improve the disease knowledge and self-management ability of patients,promote prognosis and rehabilitation,and further perfect the continuous nursing service system.
作者
谢晓虹
Xie Xiaohong(The Second Neurosurgery Department,the Second Affiliated Hospital of Hainan Medical University,Haikou 570311,China)
出处
《中华现代护理杂志》
2020年第5期631-635,共5页
Chinese Journal of Modern Nursing
关键词
脑血管障碍
神经介入手术
延续护理
IKAP理论
自我管理
康复护理
Cerebrovascular disorders
Nerve intervention
Continuous nursing
Information-Knowledge-Attitude-Practice theory
Self-management
Rehabilitation nursing
