摘要
目的 探讨信息-知识-态度-实践(information-knowledge-attitude-belief and practice, IKAP)理论健康管理模式在老年膀胱肿瘤行离子电切术患者中的应用效果,为治疗该病症提供方法。方法 选取2020年1月—2022年12月于首都医科大学附属北京朝阳医院泌尿外科行离子电切术的老年膀胱肿瘤患者100例,以数字表法随机分为观察组和对照组,每组50例。对照组采取常规干预,观察组在与对照组相同的基础上加用IKAP干预。2组干预前后采用SUPPH评估自我管理效能、 QLQ-C30评估生活质量,记录2组住院时间并进行服务满意度评价,对2组上述指标值进行统计学分析和比较。结果 干预前,2组SUPPH和QLQ-C30评分,差异均无统计学意义(P>0.05)。干预后,观察组SUPPH和QLQ-C30功能性项目评分均高于对照组(P<0.05);观察组疼痛与失眠症状评分低于对照组(P<0.05);观察组平均住院时间少于对照组(P<0.05);观察组服务满意度高于对照组(92%vs 76%,P<0.05)。结论 IKAP理论健康管理模式用于老年膀胱肿瘤行离子电切术患者中,可提高患者自我管理能力及生活质量,缩短住院时间,提高患者服务满意度,具有一定的临床应用价值。
Objective To explore the effect of the Information⁃knowledge⁃attitude⁃practice(IKAP)theory health man⁃agement model in the elderly patients undergoing plasma electrotomy for bladder tumor,and provide a method for the treatment of the disease.Methods 100 elderly patients with bladder tumor who underwent plasma electrotomy in Department of Urolo⁃gy,Beijing Chaoyang Hospital Affiliated to Capital Medical University from January 2020 to December 2022 were selected and randomly divided into observation group and control group by digital table method,with 50 cases in each group.The control group received routine intervention,and the observation group received IKAP intervention on the basis of the same routine inter⁃vention as the control group.Before and after intervention,SUPPH was used to evaluate self⁃management efficacy,and QLQ⁃C30 was used to evaluate quality of life.The length of stay was recorded,and the service satisfaction of the patients was evalu⁃ated.The above indexes'values of the two groups were statistically analyzed and compared.Results Before intervention,there was no significant difference in the scores of SUPPH and QLQ⁃C30 between the two groups(P>0.05).After interven⁃tion,the scores of SUPPH and functional items of QLQ⁃C30 of the observation group were higher than those of the control group(P<0.05).The scores of pain and insomnia symptom of the observation group were lower than those of the control group(P<0.05).The average length of hospital stay of the observation group was shorter than that of the control group(P<0.05).The service satisfaction of the patients in the observation group was higher than that in the control group(92%vs 76%,P<0.05).Conclusion When IKAP theoretical health management model is applied to elderly patients undergoing plasma electrotomy for bladder tumor,it can improve patients'self⁃management ability and quality of life,shorten hospital stay and improve patients'service satisfaction.It has certain clinical application value.
作者
唐雅楠
唐静
崔丽艳
Tang Ya'nan;Tang Jing;Cui Liyan(Department of Urology,Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing,100024,P.R.China;Interventional Department,Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing,100024,P.R.China)
出处
《老年医学与保健》
CAS
2023年第4期738-741,746,共5页
Geriatrics & Health Care
