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Application Of Nursing Intervention Based On Information-knowledge-attitude-practice Model In Self-management Of Tumor Radiotherapy Patients

Posted on:2024-03-07Degree:MasterType:Thesis
Country:ChinaCandidate:J P ZhangFull Text:PDF
GTID:2544307148477924Subject:Care
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Objective:This study aims to construct a targeted IKAP nursing intervention program for patients with radiation dermatitis by way of investigating the cutting-edge popularity of selfmanagement capacity and health guidance needs of patients,discussing the outcomes of the software below the coaching of this mannequin on self-management,anxiety,despair and great of existence of sufferers with radiation dermatitis through intervention.Methods:A cross-sectional survey was employed to ascertain the present state of self-control and health requirements of those suffering from radiation dermatitis in this research.Through literature review and expert meeting method,a nursing plan for radiodermatitis patients based on IKAP model was constructed.An empirical study was conducted to verify the influence of intervention scheme on self-management in view IKAP pattern of radiation dermatitis,as follows:1.Cross-sectional surveyDuring the period from May to July,2022,the use of the handy sampling method,210 tumor sufferers who obtained radiotherapy in the oncology branch of the Second Hospital of Shanxi Medical University were selected as objects of study.The affected person selfmanagement efficacy scale and self-perceived burden scale had been utilized for investigation,and the applicable statistical techniques have been used for evaluation.2.Empirical research In Augest to October,2022,the Second Hospital of Shanxi Medical University by the oncology in patients undergoing radiotherapy treatment of 72 cases.They had been randomly cut up into remark crew and matched group,36 instances in every team.Patients in the manage crew acquired hobbies nursing care,whilst sufferers in the intervention team obtained nursing intervention primarily based on IKAP model.The reason of this intervention was once to evaluate the results of the two organizations at some point of the treatment,which include the self-management efficacy,radiodermatitis,self-perceived burden,and pleasant of lifestyles of the sufferers in the two agencies earlier than and after radiotherapy.Results:1.Results of the cross-sectional survey The score of self-management efficacy of tumor patients with radiotherapy was(85.91±5.30),which was at a medium level.According to multiple linear regression,personality,disease stage,radiation site and education level can affect patients’ self-management efficacy.2.Empirical research results Study subject shedding: Before intervention,there were 72 subjects,36 in each group.As the intervention progressed,the intervention team 1 affected person and the manage crew 1affected person quitted the study.In the end,there were 70 subjects in both groups,35 in each.General data comparison of subjects: by comparing two sets of general data,we found that the average age of the matched group was(58.09±7.33).Mean age of the intervention crew was once(58.06±7.28).There had been no statistical variations in working situation,per head month-to-month earnings,health spending cost,gender,BMI,marital situation and education standard between the two groups(P > 0.05),there is comparability between the two groups..Through the intervention,it can be seen that there used to be statistical importance in the whole rating of self-management efficacy and every dimension rating between the two agencies(p < 0.05),and in the intervention group,the whole rating of self-management efficacy and the ratings of every dimension have been greater than these in the manipulate team.With regard to the burden of self-perception,each the whole rating and every dimension rating of the intervention team and the manage team had been decrease than these earlier than the intervention,and in contrast with earlier than intervention,the whole rating and every dimension rating of the intervention crew have been statistically large(p < 0.05).Both companies had decrease nice of existence ratings than earlier than intervention,it suggests that the great of existence of sufferers is progressively improving,and there is a enormous distinction in the satisfactory of existence after intervention in contrast with that earlier than intervention(p < 0.05).In the intervention group,the incidence of radiation dermatitis used to be inferior to that in the matched group,and the distinction used to be statistically feel(p < 0.05).Conclusion:The intervention primarily based on IKAP mannequin can enhance the self-efficacy of radiation dermatitis,improve patients’ self-control level to better relieve their psychological pressure.,and further improve their living standards.At the same time,it can make the patient’s disease be delayed and controlled,which is convenient for clinical nursing staff to manage,and also provides a certain theoretical basis for patients to realize self-management.
Keywords/Search Tags:IKAP mode, radiodermatitis, radiotherapy, self-management, quality of life
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