摘要
目的探讨信息-知识-信念-行为(IKAP)模式护理干预对脊髓损伤患者遵医行为及生活质量的影响。方法选取2022年1月至2023年1月我院收治的118例脊髓损伤患者,按照随机数字表法将其分为对照组和研究组,各59例。对照组接受常规护理干预,研究组在常规护理基础上行IKAP模式护理干预。比较两组的干预效果。结果研究组的遵医率为93.22%,高于对照组的74.58%,差异具有统计学意义(P<0.05)。干预后,研究组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于对照组,差异具有统计学意义(P<0.05)。干预后,研究组的日常生活活动能力量表(ADL)、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分均高于对照组,差异具有统计学意义(P<0.05)。研究组的护理满意度为96.61%,高于对照组的72.88%,差异具有统计学意义(P<0.05)。结论IKAP模式护理干预能改善脊髓损伤患者心理状态,提高遵医行为、日常生活能力及生活质量,提升护理满意度。
Objective To explore the effects of information-knowledge-attitude-practice(IKAP)model nursing intervention on compliance behavior and quality of life in patients with spinal cord injury.Methods A total of 118 patients with spinal cord injury admitted in our hospital from January 2022 to January 2023 were selected and divided into control group and study group according to the random number table method,with 59 cases in each group.The control group received routine nursing intervention,and the study group received IKAP mode nursing intervention on the basis of routine nursing.The intervention effects of the two groups were compared.Results The compliance rate of the study group was 93.22%,which was higher than 74.58%of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the Activities of Daily Living(ADL)and World Health Organization on Quality of Life Brief Scale(WHOQOL-BREF)scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the study group was 96.61%,which was higher than 72.88%of the control group,and the difference was statistically significant(P<0.05).Conclusion IKAP mode nursing intervention can improve the psychological state of patients with spinal cord injury,elevate compliance behavior,daily living ability and quality of life,and enhance nursing satisfaction.
作者
王利霞
郭佳
WANG Lixia;GUO Jia(Rehabilitation Department,Chinese Medicine Hospital of Puyang,Puyang 457000,China)
出处
《临床医学研究与实践》
2024年第24期159-162,共4页
Clinical Research and Practice
关键词
IKAP模式
脊髓损伤
遵医行为
生活质量
IKAP model
spinal cord injury
compliance behavior
quality of life
