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基于知信行理论的延续性护理对老年良性前列腺增生患者生活质量、自我效能和治疗依从性的影响。

Effect of continuity nursing based on the theory of Knowledge-Attitude-Practice on quality of life, self-efficacy, and treatment compliance in elderly patients with benign prostatic hyperplasia.

机构信息

Department of Urology, Mianzhu City People's Hospital, Mianzhu, China.

Department of Geriatrics, Shuangnan Hospital of Chengdu, Chengdu, China.

出版信息

Medicine (Baltimore). 2024 Apr 5;103(14):e37386. doi: 10.1097/MD.0000000000037386.

Abstract

OBJECTIVE

The purpose of this study was to analyze the impact of continuity nursing based on the theory of Knowledge-Attitude-Practice (KAP) on the quality of life, self-efficacy, and treatment compliance in elderly patients with benign prostatic hyperplasia (BPH).

METHODS

In this single-center, randomized controlled study, a total of 232 elderly BPH patients who received treatment at our hospital from June 2020 to June 2022 were selected as the research subjects. They were randomly divided into the research group (n = 116) and the control group (n = 116). The control group received conventional interventions, while the research group received continuity nursing based on the theory of KAP on the basis of control group. Anxiety, depression, self-care agency, quality of life, self-efficacy, treatment compliance, and nursing satisfaction were compared between these 2 groups.

RESULTS

Before nursing intervention, both groups showed a decrease in SAS and SDS scores after the intervention. Furthermore, self-care ability, self-care responsibility, self-concept, health knowledge level, role function, emotional function, somatic function, cognitive function, social function, and General Self-Efficacy Scale scores increased. Additionally, the research group demonstrated lower/higher levels than the control group (P < .05). The research group exhibited higher treatment compliance (P = .002) and greater nursing satisfaction compared to the control group (P = .014).

CONCLUSION

Continuity nursing based on the theory of KAP can improve negative emotions in elderly BPH patients, enhance their self-efficacy and treatment compliance, and achieve better clinical outcomes.

摘要

目的

本研究旨在分析基于知识-态度-实践(KAP)理论的连续性护理对老年良性前列腺增生(BPH)患者生活质量、自我效能和治疗依从性的影响。

方法

本单中心、随机对照研究选取了 2020 年 6 月至 2022 年 6 月在我院接受治疗的 232 例老年 BPH 患者作为研究对象。将他们随机分为研究组(n=116)和对照组(n=116)。对照组接受常规干预,研究组在对照组基础上基于 KAP 理论接受连续性护理。比较两组患者的焦虑、抑郁、自我护理能力、生活质量、自我效能、治疗依从性和护理满意度。

结果

护理干预前,两组患者的 SAS 和 SDS 评分均有所下降。此外,自我护理能力、自我护理责任感、自我概念、健康知识水平、角色功能、情绪功能、躯体功能、认知功能、社会功能和一般自我效能感评分均有所增加。而且,研究组的评分均高于对照组(P<0.05)。研究组的治疗依从性(P=0.002)和护理满意度(P=0.014)均高于对照组。

结论

基于 KAP 理论的连续性护理可以改善老年 BPH 患者的负性情绪,增强其自我效能和治疗依从性,获得更好的临床结局。

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