KAP-HBM联合干预模式对结肠镜检查患者依从性及心理状态的影响

Effects of KAP-HBM combined intervention mode on compliance and psychological status of patients received colonoscopy

目的研究知信行-健康信念(KAP-HBM)联合干预模式对结肠镜检查患者依从性及心理状态的影响。方法选择2020年8月至2021年5月于安徽医科大学附属安庆医院就诊的102例首次接受结肠镜检查的患者,其中51例接受常规护理干预的患者纳入对照组,51例接受KAP-HBM联合护理模式干预的患者纳入观察组。比较两组肠道准备知识知晓度、依从性表现、不良反应发生情况、心理状态变化以及患者满意度评分。结果干预后,观察组肠道准备相关知识知晓度评分、肠道准备依从性表现评分、患者满意度评分高于对照组(P<0.01);观察组检查期间不良反应发生率低于对照组(5.88%vs 19.61%,P<0.05);观察组焦虑、抑郁评分均低于对照组(P<0.01)。结论KAP-HBM联合干预模式有助于提升结肠镜检查患者对肠道准备相关知识的了解程度,缓解焦虑和抑郁情绪,改善患者依从性,同时减少不良反应的发生,患者满意度较高。

Objective To study the effects of knowledge attitude belief practice-health belief model(KAP-HBM)combined intervention mode on compliance and psychological status of patients received colonoscopy.Methods A total of 102 patients received colonoscopy for the first time in the hospital were enrolled between August 2020 and May 2021,including 51 cases received routine nursing in control group and other 51 cases received KAP-HBM combined nursing in observation group.The cognition degree of intestinal preparation knowledge,compliance,occurrence of adverse reactions,changes of psychological status and scores of patients satisfaction were compared between the two groups.Results After intervention,the awareness score of bowel preparation related knowledge,bowel preparation compliance performance score and patient satisfaction score in the observation group were higher than those in the control group(P<0.01);the incidence of adverse reactions in the observation group during the inspection was lower than that in the control group(5.88%vs 19.61%,P<0.05);the anxiety and depression scores in the observation group were lower than those in the control group(P<0.01).Conclusions KAP-HBM combined intervention mode is beneficial to improve cognition to intestinal preparation knowledge,relieve anxiety and depression,improve compliance and reduce the occurrence of adverse reactions in patients undergoing colonoscopy,with high patients satisfaction.