实用临床医药杂志2025，Vol.29Issue(3)：89-93,5.DOI:10.7619/jcmp.20245219
基于信息-知识-信念-行为理论的多学科协作护理在胸腔镜下肺叶切除术患者中的应用效果
Application effect of multidisciplinary collaborative nursing based on the Information-Knowledge-Attitude-Practice theory in patients undergoing lobectomy via thoracoscopy
摘要
Abstract
Objective To analyze the application effect of multidisciplinary collaborative nursing based on the Information-Knowledge-Attitude-Practice(IKAP)theory in patients undergoing lobectomy via thoracoscopy.Methods A total of 168 patients undergoing lobectomy via thoracoscopy were se-lected,and randomly divided into control group and observation group using a random number table,with 84 patients in each group.The control group received routine nursing,while the observation group received multidisciplinary collaborative nursing based on the IKAP theory in addition to routine nurs-ing.The postoperative recovery,pulmonary function indicators[forced vital capacity(FVC),maxi-mum voluntary ventilation(MVV)and ratio of forced expiratory volume in the first second to forced vi-tal capacity(FEV1/FVC)],self-efficacy[General Self-Efficacy Scale(GSES)score]and self-man-agement ability[Chronic Disease Self-Management Questionnaire(CDSMQ)score]before and after intervention were observed and compared between the two groups.Results The observation group had shorter first ambulation time,first flatus time and length of hospital stay compared with the control group(P＜0.05).Before intervention,there were no statistically significant differences in FVC,MVV,FEV1/FVC,CDSMQ scores and GSES scores between the two groups(P＞0.05).After inter-vention,the observation group had higher FVC,MVV,FEV1/FVC,CDSMQ scores and GSES scores compared with the control group(P＜0.05).Conclusion Multidisciplinary collaborative nursing based on the IKAP theory can effectively promote the recovery process in patients undergoing lobec-tomy via thoracoscopy,improve postoperative pulmonary function,self-management ability,and self-efficacy,thereby enhancing the quality of rehabilitation.关键词
胸腔镜下肺叶切除术/信息-知识-信念-行为理论/多学科协作护理/肺功能/自我效能感/自我管理能力Key words
lobectomy via thoracoscopy/Information-Knowledge-Attitude-Practice theory/multidisciplinary collaborative nursing/pulmonary function/self-efficacy/self-management ability分类
医药卫生引用本文复制引用
侯冰冰,马胤,王伟,杨晓歆,高岩..基于信息-知识-信念-行为理论的多学科协作护理在胸腔镜下肺叶切除术患者中的应用效果[J].实用临床医药杂志,2025,29(3):89-93,5.基金项目
国家自然科学基金项目(81700068) （81700068）
