摘要
目的 探索以信息-知识-态度-行为(IKAP)理念为基础的多维健康教育方法对消化性溃疡患者进行护理干预的有效性。方法 本研究共选择出68例消化性溃疡患者,均是2024年10月至2026年2月期间在本院接受治疗的患者,随机分为2组,各34例。对照组实施常规护理干预,观察组采用基于IKAP理论的护理联合多维度健康教育。对两组的干预效果进行对比分析。结果 干预后,观察组自我护理能力高于对照组,焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分低于对照组,简明健康状况调查表评分(SF-36)高于对照组,P<0.05。结论 基于IKAP理论的护理联合多维度健康教育可有效提升消化性溃疡患者的自护能力,缓解负面情绪,改善生活质量,具有临床推广价值。
关键词: 消化性溃疡;IKAP理论;多维度健康教育;自护能力
Abstract
Objective To explore the effectiveness of a multidimensional health education method based on the Information-Knowledge-Attitude-Practice (IKAP) concept in nursing interventions for patients with peptic ulcers. Methods A total of 68 patients with peptic ulcers were selected, all of whom received treatment at our hospital between October 2024 and February 2026. They were randomly divided into two groups, with 34 cases in each group. The control group received conventional nursing interventions, while the observation group received nursing care combined with multidimensional health education based on the IKAP theory. The intervention effects of both groups were compared and analyzed. Results After the intervention, the observation group exhibited higher self-care ability than the control group, with lower Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores and higher SF-36 scores, all with P<0.05. Conclusion Nursing combined with multidimensional health education based on the IKAP theory can effectively enhance the self-care ability of patients with peptic ulcers, alleviate negative emotions, improve quality of life, and has clinical promotion value.
Key words: Peptic ulcer; IKAP theory; Multidimensional health education; Self-care ability
参考文献 References
[1] 王乐.分析消化性溃疡治疗中应用泮托拉唑与奥美拉唑的临床疗效分析[C]//重庆市健康促进与健康教育学会.临床医学创新与实践学术研讨会论文集(一).衡水市故城县医院消化内科;,2025:878-881.
[2] 张璐. 消化性溃疡患者采用饮食护理联合情志护理的效果分析[J].当代医药论丛,2026,24(02):146-149.
[3] 张靖梅. IKAP理论指导下的护理干预对消化性溃疡患者健康行为及自护能力的影响[J].婚育与健康,2024, 30(24):196-198.
[4] 杨春霞. 健康教育在消化性溃疡护理中的应用效果[J].婚育与健康,2024,30(23):187-189.
[5] 黄智敏,左巍,李芳,等. 基于行为改变模式理论的健康教育提高消化性溃疡患者遵医行为及自护能力的成效[J].护理实践与研究,2023,20(02):245-249.
[6] 何丽琴. 基于保护动机理论的健康教育联合针对性护理对慢性消化性溃疡患者的影响[J].名医,2023,(09): 105-107.
[7] 张志景. 奥瑞姆自护理论的护理干预在消化性溃疡患者中的应用[J].航空航天医学杂志,2021,32(02):247-248.
[8] 孙霄,高亭,杜佩. 知信行理论指导下的综合护理对老年胃溃疡患者心理弹性、依从性及自护能力的影响[J].标准生活,2025,(08):143-145.
[9] 车明珠. 多元化心理疏导对胃溃疡患者心理状态与治疗依从性的影响[J].中国医药指南,2023,21(08):65-67.
[10] 李珊珊,彭迪. 基于患者需求为导向的分阶段健康教育对消化性溃疡患者自我管理能力及生活质量的影响研究[J].黑龙江医学,2024,48(10):1235-1238.