The value of IKAP continuous care in patients with acute pancreatitis
IKAP的延续性护理在急性胰腺炎患者中的价值分析

摘要

目的 本研究旨在探索基于信息-知识-态度-实践（IKAP）理论的延续性护理模式在急性胰腺炎（AP）患者康复过程中的具体应用效果。方法 选取2023年1月-2023年12月期间本院120例AP患者，以随机摸球为基础分组方式，分为对照、研究两个小组，观察例数相同，均为60例。分别给予常规护理、基于IKAP的延续性护理，收集两组护理数据比较护理效果。结果 两组入院时各指标对比并无明显差异（P＞0.05）；出院6个月，与对照组相比，研究组ESCA量表中各评分（健康知识、自我概念、自我责任感、自我干预）更高，而情绪状态评分（SDS、SAS）更低，组间对比（P＜0.05）；出院6个月后，研究组预后效果（复发、胰腺假性脓肿、胰腺外分泌功能不全、胰瘘）更佳，组间对比（P＜0.05）。结论 基于IKAP理论的延续性护理模式不仅能够有效提升急性胰腺炎患者自我管理能力，还可以改善患者负面情绪，降低复发风险，有利于其长远预后，值得推广。

Abstract

Objective This study aims to explore the effect of the continuous nursing model based on the information - knowledge - attitude - practice (IKAP) theory in the rehabilitation of patients with acute pancreatitis (AP).
Methods From January 2023 to December 2023, 120 AP patients in our hospital were selected and divided into control and study groups based on random ball-touching. The number of observed cases was the same, with 60 cases in both groups. Routine care and IKAP based continuous care were given respectively, and the nursing data of the two groups were collected to compare the nursing effect.
Results There was no significant difference between the two groups on admission (P > 0.05). 6 months after discharge, compared with the control group, the scores of ESCA scale (health knowledge, self-concept, self-responsibility, self-intervention) in the study group were higher, while the scores of emotional state (SDS, SAS) were lower, compared with the inter-group (P < 0.05). 6 months after discharge, the prognosis (recurrence, pancreatic pseudoabscess, pancreatic exocrine insufficiency, pancreatic fistula) was better in the study group (P < 0.05).
Conclusion   The continuous nursing mode based on IKAP theory can not only effectively improve the self-management ability of patients with acute pancreatitis, but also improve the negative emotions of patients, reduce the risk of recurrence, and benefit their long-term prognosis, which is worth promoting.