动机性访谈联合IKAP模式对晚期胃癌癌性疼痛老年患者遵医行为及生活质量的影响

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Abstract Objective To explore the effect of the motivational interview combined with the information knowledge attitude and practice (IKAP) model on the compliance behavior and the quality of life in elderly patients with advanced cancerous pain of gastric cancer. Methods From May 2015 to May 2017, in 161st Hospital of PLA, 69 elderly patients with advanced cancerous pain of gastric cancer were selected, according to random number table, they were divided into two groups, the control group (34 cases) was given routine nursing intervention, observation group (35 cases) was given motivational interview combined with IKAP model on the basis of routine nursing. After 3 months of intervention, the remission, control status of cancer pain and compliance behavior were observed and compared in the groups. The nursing satisfaction and quality of life (QOL) scores of two groups were recorded. Results The total remission rate of the observation group was 91.43% (32/35), it was higher than that of the control group (67.65%, 23/34), the difference was statistically significant (P < 0.05). After the intervention, the degree of worrying about the addiction of anesthesia analgesia, out-of-control pain, drug resistance and side effects and the doctors' treatment score of the observation group were lower than those of the control group, and the QOL score was higher than that of the control group, the differences were statistically significant (P < 0.05). The total compliance rate of the observation group was 88.57% (31/35), it was higher than that of the control group (67.65%) (23/34), the difference was statistically significant (P < 0.05). The nursing satisfaction rate of the observation group was 85.71% (30/35), it was higher than that of the control group (64.71%, 22/34)， the difference was statistically significant (P < 0.05). Conclusion IKAP model combined with motivational interview can improve the compliance behavior of elderly patients with advanced cancerous pain of gastric cancer, reduce the degree of pain, and it contributes to improve the quality of life, and it has high degree of nursing satisfaction.

Key words： Advanced Cancerous pain of gastric cancer Motivational interview IKAP model Compliance behavior Quality of life

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	HU Cen1 LI Shuling1 YUAN Liu2▲

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HU Cen1 LI Shuling1 YUAN Liu2▲. Effect of motivational interview combined with IKAP model on compliance behavior and quality of life in elderly patients with advanced cancerous pain of gastric cancer[J]. 中国医药导报, 2018, 15(10): 177-181.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I10/177

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