Huo Hong-Liang, Gui Yuan-Yuan, Xu Chun-Miao, Zhang Yan, Li Qiang
Department of Nursing, The Fourth Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China.
Nursing School, Qiqihar Medical University, Qiqihar 161006, Heilongjiang Province, China.
World J Clin Cases. 2022 Jul 16;10(20):6803-6810. doi: 10.12998/wjcc.v10.i20.6803.
Cerebrovascular disease (CVD) poses a serious threat to human health and safety. Thus, developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD. Studies have shown that predictive nursing can improve the quality of care and that the information -knowledge-attitude-practice (IKAP) nursing model has a positive impact on patients who suffered a stroke. Few studies have combined these two nursing models to treat CVD.
To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl-Meyer motor function (FMA) score, Barthel index score, and disease knowledge mastery rate in patients with CVD.
A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups, with 70 patients in each. The control group received routine nursing, while the observation group received the IKAP nursing model combined with predictive nursing. Both groups were observed for self-care ability, motor function, and disease knowledge mastery rate after one month of nursing.
There was no clear difference between the Barthel index and FMA scores of the two groups before nursing ( > 0.05); however, their scores increased after nursing. This increase was more apparent in the observation group, and the difference was statistically significant ( < 0.05). The rates of disease knowledge mastery, timely medication, appropriate exercise, and reasonable diet were significantly higher in the observation group than in the control group ( < 0.05). The satisfaction rate in the observation group (97.14%) was significantly higher than that in the control group (81.43%; < 0.05).
The IKAP nursing model, combined with predictive nursing, is more effective than routine nursing in the care of patients with CVD, and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition, as well as produce high satisfaction in patients. Moreover, they can be widely used in the clinical setting.
脑血管疾病（CVD）对人类健康和安全构成严重威胁。因此，制定合理的运动计划对CVD患者的长期康复和预后起着重要作用。研究表明，预见性护理可以提高护理质量，且信息-知识-态度-行为（IKAP）护理模式对中风患者有积极影响。很少有研究将这两种护理模式结合起来治疗CVD。
探讨IKAP护理模式联合预见性护理对CVD患者Fugl-Meyer运动功能（FMA）评分、Barthel指数评分及疾病知识掌握率的影响。
选取2019年12月至2021年9月在我院接受治疗的140例CVD患者，随机分为两组，每组70例。对照组接受常规护理，观察组接受IKAP护理模式联合预见性护理。护理1个月后观察两组患者的自我护理能力、运动功能及疾病知识掌握率。
护理前两组患者的Barthel指数和FMA评分无明显差异（P>0.05）；但护理后两组评分均升高。观察组升高更明显，差异有统计学意义（P<0.05）。观察组疾病知识掌握率、按时服药率、适当运动率及合理饮食率均显著高于对照组（P<0.05）。观察组满意度（97.14%）显著高于对照组（81.43%；P<0.05）。
IKAP护理模式联合预见性护理在CVD患者护理中比常规护理更有效，能显著提高Barthel指数和FMA评分，患者知识掌握情况更好，且患者满意度高。此外，它们可在临床环境中广泛应用。
