Lin Ziqiao, Qi Dong, Zhang Yongbo
Department of Neurology, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong'an Road, Beijing, 100050, China.
Support Care Cancer. 2025 Mar 3;33(3):242. doi: 10.1007/s00520-025-09187-1.
To explore the effects of knowledge-attitude-practice (KAP) nursing and guided intervention on mental state, sleep quality, and self-efficacy of cancer patients.
Retrospectively, 106 cancer patients were collected and divided into the control (received routine nursing and psychological intervention) and observation groups (given KAP nursing combined guided intervention) following different nursing modalities. The psychological status of patients was evaluated by the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). Disease uncertainty in patients was assessed by Mishel Uncertainty in Illness Scale (MUIS). The quality of life of patients was evaluated by using the short form 36 health survey questionnaire. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI). The knowledge level, coping ability, self-efficacy, and satisfaction with nursing work were observed.
Following nursing intervention, the scores decreased, with the observation group exhibiting lower scores in SAS, SDS, MUIS, and PSQI. The observation group demonstrated higher levels of cognitive functioning, self-efficacy, and nursing satisfaction and superior coping abilities. The quality of life of both groups after nursing was improved, with the observation group showing a higher score.
Guided intervention and KAP nursing can improve the mental status, sleep quality, and self-efficacy of cancer patients.
探讨知信行（KAP）护理及引导干预对癌症患者心理状态、睡眠质量和自我效能的影响。
回顾性收集106例癌症患者，按照不同护理方式分为对照组（接受常规护理及心理干预）和观察组（给予KAP护理联合引导干预）。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评估患者心理状态。采用疾病不确定感量表（MUIS）评估患者疾病不确定感。采用简明健康状况调查问卷36项量表评估患者生活质量。采用匹兹堡睡眠质量指数（PSQI）评估睡眠质量。观察患者知识水平、应对能力、自我效能及对护理工作的满意度。
护理干预后，各项评分降低，观察组在SAS、SDS、MUIS及PSQI评分方面更低。观察组认知功能、自我效能及护理满意度水平更高，应对能力更强。两组护理后生活质量均得到改善，观察组得分更高。
引导干预及KAP护理可改善癌症患者的心理状态、睡眠质量及自我效能。
