基于信息-知识-信念-行为模式管理慢性前列腺炎患者的效果评价

Evaluation of effects in managing patients with chronic prostatitis based on information-knowledge-belief-behavior patterns

目的探究在信息-知识-信念-行为(information-knowledge-attitude-practice,IKAP)模式干预下的慢性前列腺炎(chronic prostatitis,CP)患者的管理效果。方法选取2022年6月至2022年12月参与CP筛查并最终确诊的141例患者作为研究对象,按随机数字表法分为对照组72例和观察组69例,对照组实施常规的治疗及干预方式,观察组在常规治疗的基础上,采用IKAP模式进行健康干预,比较分析两组CP患者干预前后的CP相关评价指标。结果干预后,两组的美国国立卫生院的慢性前列腺炎症状指数(National Institutes of Health-chronic prostatitis symptom index,NIH-CPSI)综合评分、现时疼痛强度(present pain intensity,PPI)评分、抑郁自评量表(self-rating depression scale,SDS)评分比较,差异均有统计学意义(t=3.984、11.345、7.588,P<0.01);干预后,两组的总前列腺特异性抗原(total prostate specific antigen,TPSA)、游离前列腺特异抗原(free prostate specific antigen,FPSA)、前列腺白细胞计数(white blood cell count,WBC)水平比较,差异均有统计学意义(t=2.278、2.133、3.768,P<0.05),而空腹血糖(fasting plasma glucose,FPG)水平比较,差异均无统计学意义(t=0.705,P>0.05);观察组患者的行为健康状况较对照组效果好,差异有统计学意义(χ^(2)=14.760,P<0.01)结论运用IKAP健康管理模式可有效提高CP患者的健康认知水平、促进健康行为、树立健康信念,对CP患者的生理、心理健康有明显的改善作用。

Objective To explore the management effect of patients with chronic prostatitis(CP)under the information-knowledge-belief-behavior(IKAP)mode of intervention.Methods The 141 patients involved in CP screening from June 2022 to December 2022 were selected as the study objects and divided into 72 cases in the control group and 69 cases in the observation group.The control group implemented conventional treatment and intervention.In the observation group,the evaluation indexes of CP patients in the two groups were compared and analyzed.Results After intervention,National Institutes of Health-Chronic Prostatitis Symptom Index of the two groups,NIH-CPSI comprehensive score,Present pain intensity(PPI)score,Self-rating depression scale,The differences of SDS were statistically significant(t=3.984、11.345、7.588,P<0.01).Total Prostate Specific Antigen(TPSA)and Free prostate specific antigen(TPSA)of the two groups after intervention FPSA and White Blood Cell Count(WBC)levels were significantly different after intervention(t=2.278、2.133、3.768,P<0.05),while Fasting plasma glucose,FPG levels were not significantly different(t=0.705,P>0.05).The behavioral health status of patients in the observation group was better than that in the control group,the difference was statistically significant(χ^(2)=14.760,P<0.01).Conclusions IKAP health management mode could effectively improve the health cognition level,promote health behavior and establish health belief in patients with chronic prostate.It can significantly improve the physical and mental health of patients with chronic prostatitis.