Abstract:Objective To analyze the effect of knowledge-attitude-practice (KAP) theoretical model in continuous nursing of patients with gastric cancer undergoing chemotherapy. Methods A total of 174 patients with gastric cancer undergoing chemotherapy in Nanjing First Hospital from July to November 2021 were selected. They were divided into two groups by drawing lots method, with 87 cases in each group. The control group implemented routine nursing+routine continuous nursing, and the observation group implemented routine nursing+KAP theoretical mode continuous nursing. The intervention time was three months. The hope level (Herth hope scale [HHI]), cancer-related fatigue (Chinese version of cancer-related fatigue scale [CRF]), and medical compliance of patients in both groups were compared. Results After intervention, the dimensions scores and total score of HHI in both groups were higher than those before intervention, and observation group was higher than control group (P < 0.05); the dimensions scores and total score of CRF in both groups were lower than those before intervention, and observation group was lower than control group (P < 0.05); the medical compliance of observation group was better than that of control group (P < 0.05). Conclusion The continuous nursing of KAP theoretical model is given in patients with gastric cancer undergoing chemotherapy, which can improve their hope level, reduce cancer-related fatigue, and improve medical compliance.
[1] Temiz G,Durna Z. Evaluation of Quality of Life and Health Care Needs in Cancer Patients Receiving Chemotherapy [J]. J Cancer Educ,2020,35(4):796-807.
[2] 张云飞,朱虹玉,骆惠玉,等.胃癌首次化疗患者心理焦虑现状及影响因素分析[J].齐鲁护理杂志,2021,27(16):11-14.
[3] 国家卫生计生委办公厅,国家中医药管理局办公室.关于进一步深化优质护理、改善护理服务的通知[J].中国护理管理,2015,15(4):385.
[4] 吴丽萍,王虹,刘玉静.延续性护理在晚期胃癌患者中的应用及对患者心理的影响[J].长春中医药大学学报,2021, 37(1):207-209.
[5] Sari Y,Anam A,Sumeru A,et al. The knowledge,attitude,practice and predictors of complementary and alternative medicine use among type 2 diabetes mellitus patients in Indonesia [J]. J Integr Med,2021,19(4):347-353.
[6] 中国临床肿瘤学会指南工作委员会.中国临床肿瘤学会(CSCO)胃癌诊疗指南-2018.V[M].北京:人民卫生出版社,2018:3-16.
[7] Amin MB,Edge SB,Greene FL,et al. AJCC Cancer Staging Manual [M]. 8th ed. New York:Springer,2016:203-220.
[8] 赵海平,王健.血液透析患者的社会支持和希望[J].中华护理杂志,2000,35(5):306-308.
[9] 姬艳博,许翠萍,孙菲菲,等.癌因性疲乏自评量表的编制及信效度检验[J].护士进修杂志,2016,31(11):963- 967.
[10] 贺徐琳,袁静,沈丹菁,等.基于知信行理论的延续性护理方案在膀胱肿瘤术后灌注中的价值研究[J].中国肿瘤临床与康复,2021,28(9):1138-1141.
[11] 徐瑾鼎,徐复娟,余颖,等.KAP模式健康教育在老年高血压合并糖尿病患者中的应用价值分析[J].重庆医学,2020,49(13):2232-2235.
[12] 李孟琦,何爽.信息知识信念行为模式的护理干预策略在纵隔肿瘤患者围术期中的应用[J].检验医学与临床,2022,19(1):113-116.
[13] 王燕,于佩娜.知信行护理干预对冠心病PCI术患者心理状态及生活质量的影响[J].贵州医药,2021,45(3):498-499.
[14] 朱莎莎,沈霞,李彬霞,等.回授式健康教育计划表对胃癌化疗患者遵医行为与护理满意度的影响[J].山西医药杂志,2021,50(6):1012-1014.
[15] 陈绯,姚荷英.延续性护理对体检中心肿瘤标志物异常者遵医行为及心理状态的影响[J].护理实践与研究,2022, 19(6):922-925.
[16] 赵海艳,王睿.基于知信行理论的延续性护理对胃食管反流病患者自我效能的影响[J].齐鲁护理杂志,2019, 25(21):37-40.
[17] 宋岩,支修益.肺癌化疗患者癌因性疲乏与希望水平的相关性研究[J].癌症进展,2021,19(5):525-529.
[18] Ghalavandi S,Heidarnia A,Zarei F,et al. Knowledge,attitude,practice,and self-efficacy of women regarding cervical cancer screening [J]. Obstet Gynecol Sci,2021,64(2):216-225.
[19] 郭晓萍,曹美嫦,曾满萍,等.叙事疗法对晚期癌症患者希望水平及心理状态的影响[J].湖南师范大学学报(医学版),2019,16(5):1-3.
[20] 姜腾飞,王伟,张琦,等.慢性心力衰竭患者延续性护理研究进展[J].实用心脑肺血管病杂志,2019,27(2):104- 107.
[21] 解源源,刘学梅.延续性护理在社区老年糖尿病病人中的应用效果[J].护理研究,2017,31(5):623-626.
[22] 季建林,叶尘宇.情绪、行为与健康:行为医学不变的主题[J].中华行为医学与脑科学杂志,2019,28(7):577- 579.
[23] 周玲.综合性护理干预对恶性淋巴瘤患者化疗后癌因性疲乏、遵医嘱行为和疗效的影响[J].国际护理学杂志,2019,38(9):1266-1270.
[24] 易长征,李正芬,诸红秀,等.阶段性改变理论为导向的护理干预对肺癌化疗患者情绪与遵医行为的影响[J].中国肿瘤临床与康复,2019,26(2):212-215.
[25] 秦国涛,杨丽,戴春雷,等.透明帽辅助结肠镜下聚桂醇不同给药方式硬化疗法治疗Ⅰ、Ⅱ期出血性内痔的临床效果[J].中国当代医药,2021,28(14):65-68.
[26] 邵瑞欣.延续性护理对乳腺癌术后化疗患者健康知识掌握情况及遵医行为的影响[J].中国社区医师,2021, 37(20):137-138.
[27] 谭慧仪,崔世恩,陈荣霞,等.基于微信平台的延续性护理对乳腺癌术后患者睡眠、生活质量影响的研究[J].中国医药科学,2022,12(4):111-114.