| Citation: |
HOU Bingbing, MA Yin, WANG Wei, YANG Xiaoxin, GAO Yan. Application effect of multidisciplinary collaborative nursing based on the Information-Knowledge-Attitude-Practice theory in patients undergoing lobectomy via thoracoscopy[J]. Journal of Clinical Medicine in Practice, 2025, 29(3): 89-93. DOI: 10.7619/jcmp.20245219
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To analyze the application effect of multidisciplinary collaborative nursing based on the Information-Knowledge-Attitude-Practice (IKAP) theory in patients undergoing lobectomy via thoracoscopy.
A total of 168 patients undergoing lobectomy via thoracoscopy were selected, 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 nursing. The postoperative recovery, pulmonary function indicators [forced vital capacity (FVC), maximum voluntary ventilation (MVV) and ratio of forced expiratory volume in the first second to forced vital capacity (FEV1/FVC)], self-efficacy [General Self-Efficacy Scale (GSES) score] and self-management ability [Chronic Disease Self-Management Questionnaire (CDSMQ) score] before and after intervention were observed and compared between the two groups.
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 intervention, the observation group had higher FVC, MVV, FEV1/FVC, CDSMQ scores and GSES scores compared with the control group (P < 0.05).
Multidisciplinary collaborative nursing based on the IKAP theory can effectively promote the recovery process in patients undergoing lobectomy via thoracoscopy, improve postoperative pulmonary function, self-management ability, and self-efficacy, thereby enhancing the quality of rehabilitation.
| [1] |
曾飞燕, 黎玉梅, 李咏东, 等. 早期加速康复外科护理结合心理干预在胸腔镜下肺叶切除术患者中的应用[J]. 护理实践与研究, 2022, 19(13): 1978-1981.
|
| [2] |
孔羽, 汤婷, 刘扣英. 患者积极度在肺癌患者疾病感知与自我管理间的中介作用[J]. 中华行为医学与脑科学杂志, 2022, 31(5): 431-437.
|
| [3] |
傅睿, 吴一龙, 钟文昭. 2020版肺癌多学科团队诊疗中国专家共识解读[J]. 中国肿瘤临床, 2022, 49(4): 163-167.
|
| [4] |
郭晓迪, 曾咏梅, 龚冬娥, 等. 基于IKAP理论的护理专案改善在胰岛素强化治疗患者低血糖分层优化管理中的应用[J]. 护士进修杂志, 2021, 36(17): 1570-1574.
|
| [5] |
马旻, 艾自胜, 石志道. 一般自我效能感量表在中老年2型糖尿病患者中的信度效度检验[J]. 同济大学学报: 医学版, 2022, 43(4): 515-520.
|
| [6] |
史丽妙, 赵奇江, 徐瑾, 等. 健康行为改变整合理论联合助推策略在高尿酸血症患者健康管理中的应用[J]. 中华全科医学, 2024, 22(7): 1166-1170.
|
| [7] |
葛艳, 王丽丽, 吐尔逊阿依·买买提. 多学科围术期疼痛干预对胸腔镜肺叶切除术患者术后疼痛、术后恢复和并发症的影响[J]. 川北医学院学报, 2024, 39(4): 565-568.
|
| [8] |
邓笠, 郭佳, 成琼, 等. 基于IKAP理论的腹膜透析患者培训模式的构建及效果评价研究[J]. 重庆医学, 2021, 50(4): 714-716.
|
| [9] |
PU C Y, BATARSEH H, ZAFRON M L, et al. Effects of preoperative breathing exercise on postoperative outcomes for patients with lung cancer undergoing curative intent lung resection: a meta-analysis[J]. Arch Phys Med Rehabil, 2021, 102(12): 2416-2427. doi: 10.1016/j.apmr.2021.03.028
|
| [10] |
梅松利, 吴姁怿, 杨杰, 等. 基于多学科协作的精准护理策略在老年肺癌胸腔镜患者中的应用[J]. 四川大学学报: 医学版, 2023, 54(5): 1052-1057.
|
| [11] |
陈瑜, 杨金山. 多学科协作模式下胸腔镜肺癌根治术对老年患者预后的影响[J]. 中国老年学杂志, 2021, 41(18): 3956-3958.
|
| [12] |
王慧慧, 韩艳, 马宏惠, 等. 胸腔镜肺叶切除肺癌患者多学科肺康复护理路径的构建研究[J]. 新疆医科大学学报, 2020, 43(9): 1264-1268.
|
| [13] |
李爽, 牛巧红, 许慧娟, 等. 基于IKAP理论的协同护理干预在乳腺癌病人及家属中的应用效果[J]. 护理研究, 2020, 34(22): 4058-4062.
|
| [14] |
钟秀英, 夏叶, 曾琳. 肺癌患者自我超越水平与自我效能感及家庭功能的相关性研究[J]. 护士进修杂志, 2021, 36(22): 2029-2032.
|
| [15] |
王晓燕, 刘烨, 牛丹. 基于IKAP理论的多学科协作护理模式对乙型肝炎肝衰竭患者自我管理效果的研究[J]. 中华临床感染病杂志, 2022, 15(5): 372-378.
|
| [16] |
陈敬. 自我效能干预对肺癌术后患者呼吸功能锻炼依从性与肺功能的影响[J]. 护理实践与研究, 2020, 17(4): 80-82.
|
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