KAP模式健康教育对脑卒中自我效能、希望水平及生活质量的影响

Effects of KAP model on sense of self-efficacy,hope level and quality of life in stroke patients

目的:观察“知信行”干预模式(KAP)对脑卒中偏瘫患者自我效能感、希望水平及生活质量的影响。方法:将72例脑卒中偏瘫患者随机分为KAP模式干预组36例和对照组36例,对照组按常规脑卒中护理及健康教育,干预组在常规护理及健康教育的基础上进行“知信行”模式的健康教育,分别在入院前3天内及出院前3天内采用脑卒中专用自我效能量表(SSEQ)评分、HERTH希望量表、脑卒中专用生活质量量表(SS-QOL)评分进行评估,比较2组患者的干预效果。结果:干预后,2组患者的SSEQ评分、HERTH希望量表及SS-QOL总评分均较干预前明显提高(P<0.05),且干预组明显高于对照组(P<0.05)。结论:应用KAP模式可有效地提高脑卒中偏瘫患者的自我效能感及希望水平,改善患者的生活质量,促进康复。

Objective:To investigate the effects of KAP model on self-efficacy,hope level and quality of life in stroke patients.Methods:A total of 72 patients with stroke hemiplegia were randomly divided into KAP pattern observation group (KAP group) and routine stroke nursing and health education group (control group)( n =36 each).In the 3 days before admission and 3 days before discharge from hospital,we compared the intervention effects of two groups of patients by using the stroke self-efficacy questionnaire (SSEQ),HERTH hope index,Stroke-Specific Quality of Life Scale (SS-QOL).Results:In the absence of KAP model nursing intervention,there was no significant difference in self-efficacy,hope level and quality of life between the two groups.After applying routine health education method and KAP model education,the self-efficacy,hope level and quality of life in the two groups increased,but the difference was more obvious in the KAP group than in control group ( P < 0.01 ).Conclusion:KAP model education can effectively improve the self-efficacy and hope level of stroke patients,improve the quality of life and promote rehabilitation.