摘要
目的探讨知信行(KAP)模式干预在卵巢癌术后患者中的应用效果。方法根据干预方式的不同将140例卵巢癌术后患者分为常规干预组和KAP模式组,每组70例,常规干预组患者术后进行常规干预,KAP模式组患者术后进行KAP模式干预。比较两组患者的术后恢复指标、负性情绪[汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)]、自我护理能力[自我护理能力评估量表(ESCA)]、生活质量[卡氏功能状态(KPS)评分]、不良反应发生情况及家属满意度。结果KAP模式组患者的胃肠功能恢复时间、首次肛门排气时间均明显短于常规干预组(P﹤0.01),每日下床次数明显多于常规干预组(P﹤0.01)。干预后,两组患者HAMA、HAMD评分均低于本组干预前,KAP模式组患者HAMA、HAMD评分均低于常规干预组,差异均有统计学意义(P﹤0.05)。干预后,两组患者ESCA、KPS评分均高于本组干预前,KAP模式组患者ESCA、KPS评分均高于常规干预组,差异均有统计学意义(P﹤0.05)。KAP模式组患者不良反应总发生率明显低于常规干预组,家属满意度明显高于常规干预组,差异均有统计学意义(P﹤0.01)。结论KAP模式干预可加快卵巢癌患者术后恢复,改善患者的负性情绪,提高患者的自我护理能力和生活质量,降低不良反应发生率,且患者家属满意度较高。
Objective To explore the application effect of knowledge-attitude-practice(KAP)model intervention in postoperative patients with ovarian cancer.Method A total of 140 postoperative ovarian cancer patients were divided into routine intervention group and KAP model group according to different intervention methods,with 70 cases in each group.The patients in the routine intervention group received conventional intervention after the operation,and the patients in KAP model group received the KAP model intervention after the operation.The postoperative recovery indicators,negative emotion[Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)],self-care ability[exercise of self-care agency scale(ESCA)],quality of life[Karnofsky performance status(KPS)score],the occurrence of adverse events and satisfaction of family members were compared between the two groups.Result The gastrointestinal function recovery time and the first anal exhaust time of the KAP model group were significantly shorter,and the number of times of getting out of bed per day was significantly more than those of the routine intervention group(P<0.01).After the intervention,the HAMA and HAMD scores of the two groups were lower than those before the intervention,and the scores of the KAP model group were lower than those of the routine intervention group,and the differences were statistically significant(P<0.05).After the intervention,the ESCA and KPS scores of the two groups were higher than those before the intervention,and the ESCA and KPS scores of the KAP model group were higher than those of the routine intervention group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in the KAP model group was significantly lower than that in the routine intervention group,and the satisfaction of family members was significantly higher than that in the routine intervention group,and the differences were statistically significant(P<0.05).Conclusion KAP model intervention could speed up postoperative recove
作者
晁蕊停
杨秀娟
申敏
蒋义娜
CHAO Ruiting;YANG Xiujuan;SHEN Min;JIANG Yi’na(Fifth Ward,Department of Gynecology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2023年第5期531-534,共4页
Oncology Progress
关键词
卵巢癌
术后恢复
负性情绪
自我护理能力
生活质量
ovarian cancer
postoperative recovery
negative emotion
self-care ability
quality of life
