骨外科患者围术期应用KAP护理模式对自护能力的长期影响

Effect of Perioperative KAP Nursing Model on self-care Ability in Patients with Bone Surgery

目的:探讨骨外科手术患者在围术期重点落实知信行护理各项措施的长期影响。方法:2019年5月-2020年4月,对广东佛山市顺德区暨南大学附属顺德医院94例骨科手术患者进行护理干预研究,采用临床对照实验研究的方法,使用随机数字表将入组患者均分为对照组(常规护理模式)和观察组(KAP护理模式),量化评分患者知信行评分,比较其护理前后的组内差异、护理后的组间差异,比较2组患者并发症发生率的差异。结果:治疗后进行组间比较,观察组对骨外科临床疾病的认知评分、康复信念评分、生活质量评分均高于对照组,组间差异均有统计学意义(P<0.05),观察组并发症发生率低于对照组患者,组间差异也有统计学意义(P<0.05)。结论:相比于常规护理模式,骨外科患者在手术前后有效落实KAP护理模式,能显著提升患者对疾病的了解,增强医护与患者之间的信任度,进而增强配合的依从性,其并发症发生情况也相对更好。

Objective:To investigate the long-term effect of perioperative Zhixinxing nursing model(KAP)on self-care ability of patients in bone surgery.Methods:From May 2019 to April 2020,94 patients with orthopedic surgery in Shunde hospital affiliated to Jinan University,Shunde District,Foshan,Guangdong Province were divided into control group(routine nursing mode)and test group(KAP nursing mode)according to different nursing methods.Results:After treatment,the patients in the experimental group were compared The disease cognition score,rehabilitation belief score and quality of life score were significantly higher in the patients than in the control group(P<0.05),and the incidence of complications in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion:Compared with conventional nursing mode,the nursing effect of KAP nursing mode is better and the incidence of complications is relatively low.