在IKAP理论指导下的协同护理措施对三阴性乳腺癌患者及其家属健康素养水平及满意度的影响效果研究

Study on the Effect of Coordinated Nursing Measures under the Guidance of IKAP Theory on the Health Literacy and Satisfaction of Patients with Triple-negative Breast Cancer and Their Families

目的探讨在IKAP理论指导下的协同护理措施对三阴性乳腺癌患者及其家属健康素养水平及满意度的影响效果。方法选择我院于2017年12月至2019年11月接收的200例三阴性乳腺癌患者及其家属作为本课题的研究对象,将这200例患者及家属分为100例试验组(年龄在19-71岁)和100例对照组(年龄在20-72岁)。对对照组患者进行的护理干预方式:常规性健康教育,住院包括四方面内容:入院后对其进行健康宣讲教育、指导其正确用药及合理饮食、指导出院。对试验组患者进行的护理干预方式:在对照组的基础上,对其进行基于IKAP理论的协同护理干预。比较护理干预前后,两组患者及其家属的健康素养水平。比较护理干预后,两组患者的住院满意度。结果护理干预前,两组患者及其家属的健康素养水平(交流互动能力、经济支持意愿以及改善健康意愿)没有差异,干预后,试验组患者及其家属的健康素养水平明显比对照组高(P<0.05)。住院满意度的6个维度中,两组患者的专业技能、环境以及便利性没有差异(P>0.05),但是试验组患者人文关怀、总体评价、信息提供等维度的满意度明显比对照组高(P<0.05),试验组患者的总体满意度明显比对照组高(P<0.05)。结论针对三阴性乳腺癌患者,通过基于IKAP理论的协同护理干预,可以改善患者及其家属的健康素养水平、提高患者的住院满意度,效果理想,可信度高,具有一定的临床价值,值得在临床加以广泛推广以及应用。

Objective To explore the effect of collaborative nursing measures under the guidance of IKAP theory on health literacy and satisfaction of triple negative breast cancer patients and their families.Methods The 200 cases of triple-negative breast cancer patients and their families accepted by our hospital from December 2017 to November 2019 were selected as the research objects of this subject,and these 200 patients and their families were divided into 100 experimental groups(aged 19-71 years old)and 100 control groups(aged 20-72 years old).Nursing intervention methods for patients in the control group:routine health education,hospitalization includes four aspects:health education after admission,guidance on correct medication and reasonable diet,and guidance on discharge.Nursing intervention methods for patients in the experimental group:on the basis of the control group,they were subjected to collaborative nursing intervention based on the IKAP theory.The health literacy levels of the two groups of patients and their families were compared before and after the nursing intervention.After the nursing intervention,the hospitalization satisfaction of the two groups of patients was compared.Results Before the nursing intervention,there was no difference in the health literacy levels of the two groups of patients and their families(communication and interaction ability,willingness to economic support,and willingness to improve health).After the intervention,the health literacy levels of the patients and their families in the experimental group were significantly higher than those in the control group(P<0.05).Among the six dimensions of hospitalization satisfaction,there was no difference in the professional skills,environment,and convenience of the two groups of patients(P>0.05),but the satisfaction of the human care,overall evaluation,and information provision of the experimental group was significantly higher than that of the control group(P<0.05),the overall satisfaction of patients in the test group was significantly higher than that of the control group(P<0.05).Conclusion For triple-negative breast cancer patients,through collaborative nursing intervention based on the IKAP theory,the health literacy level of patients and their families can be improved,and the hospitalization satisfaction of patients can be improved.The effect is ideal,the credibility is high,and it has certain clinical value.To be widely promoted and applied clinically.