| 季静,蔡玉芬.“信息 -知识 -信念 -行为”模式对老年心脑血管疾病病人自我管理及治疗依从性的影响[J].安徽医药,2022,26(1):140-142. |
| “信息 -知识 -信念 -行为”模式对老年心脑血管疾病病人自我管理及治疗依从性的影响 |
| Effects of IKAP model on self-management and treatment compliance in elderly patients with cardiovascular and cerebrovascular diseases |
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| DOI：10.3969/j.issn.1009-6469.2022.01.032 |
| 中文关键词: 心脑血管疾病 健康知识，态度，实践 自我护理 老年人 信息 -知识 -信念 -行为模式 自我效能 治疗依从性 |
| 英文关键词: Cardiovascular and cerebrovascular diseases Health knowledge,attitudes,practice Self care Elderly IKAP mode Self-efficacy Treatment compliance |
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| 中文摘要: |
| 目的探讨“信息 -知识 -信念 -行为”(IKAP)模式对老年心脑血管疾病病人自我管理、治疗依从性的影响。方法选择 2018年 1—6月北京市和平里医院收治的 82例老年心脑血管疾病病人，按照随机数字表法随机分为 IKAP组和对照组，各 41例。对照组给予常规诊疗、康复护理及必要的健康教育， IKAP组在此基础上，基于 IKAP管理模式给予综合性健康干预，共 6个月。采用一般自我效能感量表(GSES)、17项版汉密尔顿抑郁量表(HAMD-17)及遵医行为依从性评估量表评估病人的自我效能、心理状态及治疗依从性变化。结果管理后， IKAP组 HAMD评分［( 11.66±3.54)分］显著降低，且低于对照组［( 14.78±4.51)分］(P<0.05)。管理后，两组 GSES量表评分明显升高， IKAP组 GSES量表评分［( 3.34±0.41)分］显著高于对照组［( 3.04±0.38)分］(P<0.05)。管理后， IKAP组遵医行为依从性量表中各维度评分均较管理前明显改善，对照组服药、定期复查的评分明显改善， IKAP组服药［(11.43±2.14)分比(9.42±2.08)分］饮食［(10.84±1.64)分比(8.35±1.90)分］锻炼［(11.07±2.18)分比(8.24±2.71)分］定期复查［(11.48±1.89)分比(10.16±1.53)分］各维、度评分及总评分［(44.56±5.02)分比(34、.87±4.37)分］均显著高于对照组( P<0.0、5)。结论 IKAP模式能改变老年心脑血管疾病病人疾病认知、不良行为，缓解心理状态，提升自我效能和治疗依从性。 |
| 英文摘要: |
| Objective To explore the effect of information-knowledge-attitude-practice (IKAP) management mode on the self-man-agement and treatment compliance in elderly patients with cardiovascular and cerebrovascular diseases.Methods Eighty-two elderlypatients with cardiovascular and cerebrovascular diseases who were admitted to Beijing Hepingli Hospital from January 2018 to June2018 were selected and randomly assigned into IKAP group (n=41) and control group (n=41). The control group was given routine diag-nosis and treatment, rehabilitation nursing and necessary health education, and the IKAP group was given comprehensive health inter-vention based on the IKAP management model for 6 months. General self-efficacy scale (GSES), 17-item Hamilton depression scale (HAMD-17) and compliance assessment scale were used to evaluate patients' self-efficacy, psychological status and treatment compli-ance.Results After management, HAMD score in IKAP group [(11.66±3.54) score] was decreased significantly, which was significant-ly lower than that in control group [(14.78±4.51) score] (P<0.05). After management, GSES scale scores of the two groups were signifi-cantly increased, and GSES scale scores of the IKAP group [(3.34±0.41) score] were significantly higher than that of the control group[(3.04±0.38) score] (P<0.05). After management, compliance assessment scale scores of all dimensions in the IKAP group were signifi-cantly improved, and scores of medication and regular review in the control group were significantly improved. Scores of all dimensionsincluding taking medication [(11.43±2.14) score vs. (9.42±2.08) score], diet [(10.84±1.64) score vs. (8.35±1.90) score], exercise [(11.07± 2.18) score vs. (8.24±2.71) score], check up regularly [(11.48±1.89) score vs. (10.16±1.53) score] and total scores [(44.56±5.02) score vs. (34.87±4.37) score] in the IKAP group were significantly higher than those in the control group (P<0.05).Conclusions IKAP mod-el can effectively change the disease cognition and bad behavior of elderly patients with cardiovascular and cerebrovascular diseases,release the state of emotion, improve self-efficacy and treatment compliance. |
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