2023年4月第30卷第4期基于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刘好，陈云霞，李倩倩（河南省人民医院神经内科ICU／河南省护理重点实验室／河南大学人民医院，河南郑州450003）【摘要】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。【关键词】缺血性脑卒中；KAP理论；护理干预；疾病不确定感；自我效能中图分类号：R473.5文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0567ImpactofNursingInterventionBasedonKAPTheoryonUncertaintyinIllnessandSelf-EfficacyofPatientswithIschemicStroke//LIUHao,CHENYunxia,LIQianqian(NeurologicalIntensiveCareUnit,He'nanProvincialPeople'sHospital/He'nanProvincialNursingKeyLaboratory/He'nanUniversityPeople'sHospital,Zhengzhou450003,China)[Abstract]ObjectiveToexploretheimpactofnursinginterventionbasedonKAPtheoryonuncertaintyinillnessandself-efficacyofpatientswithischemicstroke.Methods90patientswithischemicstrokewererandomlydividedintotwogroups.Thecontrolgroupreceivedroutinenursingintervention,andtheobservationgroupreceivednursinginterventionbasedonKAPtheory.Thediseaseuncertainty[MishelUncertaintyinIllnessScale(MUIS)]andself-efficacy[StrokeSelf-efficacyQuestionnaire(SSEQ)]werecomparedbetweenthetwogroups.ResultsAfterintervention,theMUISscoresofthetwogroupswerelowerthanthosebeforeintervention,andtheSSEQscoreswerehigherthanthosebeforeintervention(P<0.05);TheMUISscoreoftheobservationgroupwaslowerthanthatofthecontrolgroup,andtheSSEQscorewashigherthanthatofthecontrolgroup(P<0.05).ConclusionsNursinginterventionbasedonKAPtheorycaneffectivelyimprovethediseaseuncertaintyofpatientswithischemicstrokeandimprov...
