Case Control Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2022; 10(20): 6803-6810
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.6803
Effects of the information–knowledge–attitude–practice nursing model combined with predictability intervention on patients with cerebrovascular disease
Hong-Liang Huo, Yuan-Yuan Gui, Chun-Miao Xu, Yan Zhang, Qiang Li
Hong-Liang Huo, Department of Nursing, The Fourth Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China
Yuan-Yuan Gui, Chun-Miao Xu, Yan Zhang, Qiang Li, Nursing School, Qiqihar Medical University, Qiqihar 161006, Heilongjiang Province, China
Author contributions: Huo HL designed and performed the research, collected and analyzed the data, and wrote the article; Gui YY and Zhang Y collected the data and samples; Xu CM analyzed the data; and Xu CM and Li Q edited, reviewed, and approved the final article.
Supported by Basic scientific research industry of Heilongjiang Provincial undergraduate universities in 2019, No. 2019-KYYWF-1213.
Institutional review board statement: The study protocol conformed to the ethical guidelines of the Declaration of Helsinki and was approved by the Ethics Committee of Qiqihar Medical University.
Informed consent statement: All study participants or their legal guardians provided written informed consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chun-Miao Xu, MM, Nurse, Nursing School, Qiqihar Medical University, No. 333 Bukui North Street, Jianhua District, Qiqihar 161006, Heilongjiang Province, China. xcmmiao02@163.com
Received: March 8, 2022
Peer-review started: March 8, 2022
First decision: April 13, 2022
Revised: April 27, 2022
Accepted: May 28, 2022
Article in press: May 28, 2022
Published online: July 16, 2022
Processing time: 118 Days and 16 Hours
Abstract
BACKGROUND

Cerebrovascular disease (CVD) poses a serious threat to human health and safety. Thus, developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD. Studies have shown that predictive nursing can improve the quality of care and that the information –knowledge–attitude–practice (IKAP) nursing model has a positive impact on patients who suffered a stroke. Few studies have combined these two nursing models to treat CVD.

AIM

To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl–Meyer motor function (FMA) score, Barthel index score, and disease knowledge mastery rate in patients with CVD.

METHODS

A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups, with 70 patients in each. The control group received routine nursing, while the observation group received the IKAP nursing model combined with predictive nursing. Both groups were observed for self-care ability, motor function, and disease knowledge mastery rate after one month of nursing.

RESULTS

There was no clear difference between the Barthel index and FMA scores of the two groups before nursing (P > 0.05); however, their scores increased after nursing. This increase was more apparent in the observation group, and the difference was statistically significant (P < 0.05). The rates of disease knowledge mastery, timely medication, appropriate exercise, and reasonable diet were significantly higher in the observation group than in the control group (P < 0.05). The satisfaction rate in the observation group (97.14%) was significantly higher than that in the control group (81.43%; P < 0.05).

CONCLUSION

The IKAP nursing model, combined with predictive nursing, is more effective than routine nursing in the care of patients with CVD, and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition, as well as produce high satisfaction in patients. Moreover, they can be widely used in the clinical setting.

Keywords: Information–knowledge–attitude–practice nursing model; Predictive nursing; Cerebrovascular disease; Barthel index; Fugl–Meyer motor function score; Disease knowledge mastery rate

Core Tip: The information–knowledge–attitude–practice nursing model combined with predictable intervention enhances the nursing effect of cerebrovascular disease cases, significantly improves the Barthel index and Fugl–Meyer motor function scores, and leaves patients highly satisfied and can be widely used in clinical practice.