基于KAP理论的护理干预对缺血性脑卒中患者疾病不确定感及自我效能的影响

Impact of Nursing Intervention Based on KAP Theory on Uncertainty in IIness and Self-Eficacy of Patients with Ischemic Stroke

目的探讨基于知信行(KAP)理论的护理干预对缺血性脑卒中患者疾病不确定感及自我效能的影响。方法90例缺血性脑卒中患者随机分为两组,对照组采用常规护理干预,观察组采用基于KAP理论的护理干预,比较两组的疾病不确定感[Mishel疾病不确定感量表(MUIS)]及自我效能[脑卒中自我效能问卷(SSEQ)]。结果干预后,两组的MUIS评分低于干预前,SSEQ评分均高于干预前(P<0.05);观察组的MUIS评分低于对照组,SSEQ评分高于对照组(P<0.05)。结论基于KAP理论的护理干预能有效改善缺血性脑卒中患者的疾病不确定感,提高其自我效能。

Objective To explore the impact of nursing intervention based on KAP theory on uncertainty in illness and self-efficacy of patients with ischemic stroke.Methods 90 patients with ischemic stroke were randomly divided into two groups.The control group received routine nursing intervention,and the observation group received nursing intervention based on KAP theory.The disease uncertainty[Mishel Uncertainty in Ilness Scale(MUIS)]and self-efficacy[Stroke Self-efficacy Questionnaire(SSEQ)]were compared between the two groups.Results After intervention,the MUIS scores of the two groups were lower than those before intervention,and the SSEQ scores were higher than those before intervention(P<0.05);The MUIS score of the observation group was lower than that of the control group,and the SSEQ score was higher than that ofthe control group(P<0.05).Conclusions Nursing intervention based on KAP theory can effectively improve the disease uncertainty of patients with ischemic stroke and improve their self-efficacy.