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Randomized Controlled Trial
. 2020 Mar;99(11):e19543.
doi: 10.1097/MD.0000000000019543.

Effect of continuous nursing care based on the IKAP theory on the quality of life of patients with chronic obstructive pulmonary disease: A randomized controlled study

Xin-Xia Li  1 , Xue-Wei Du  2 , Wen Song  2 , Chang Lu  2 , Wen-Nv Hao  3
Affiliations
Randomized Controlled Trial

Effect of continuous nursing care based on the IKAP theory on the quality of life of patients with chronic obstructive pulmonary disease: A randomized controlled study

Xin-Xia Li et al. Medicine (Baltimore). 2020 Mar.

Abstract

Objective: To explore the effect of continuous nursing care based on the Information, Knowledge, Attitude, and Practice (IKAP) theory on the quality of life of patients with chronic obstructive pulmonary disease (COPD).

Methods: This study is a randomized control trial. COPD patients attending the Affiliated Hospital of Inner Mongolia Medical University, China between July 1 and October 31, 2017 were eligible. Following random assignment of participants to either the intervention group or control group, 70 patients (35 in each group) were included in the final sample. The intervention group received nursing care based on the Information, Knowledge, Attitude, and Practice theory, while the control group received standard nursing care. Data were collected before the intervention, 1 month after the intervention, and three months after the intervention. The St. George's Respiratory Questionnaire (SGRQ) was used to measure quality of life.

Results: Three months after the intervention, there were significant differences in the total SGRQ score (20.29 ± 10.03 vs 30.14 ± 12.52) and in the three SGRQ dimensions between the intervention group and the control group (P < .05). A repeated-measures analysis of variance showed that the total SGRQ score and the scores for impact and symptoms had a significant time effect (P < .001), that the total SGRQ score and the score for symptoms had a significant interaction effect (P < .05), and that the impact dimension had a significant group effect (P = .042). Pairwise comparisons of the data for the intervention group showed that there were significant differences between the pre-intervention and 1 month after intervention scores as well as between pre-intervention and three months after intervention, for the total SGRQ scores and the scores for impact and symptoms(P < .001). In terms of the impact dimension, there was a significant difference in the intervention group between 1 month after intervention and 3 months after intervention (P = .016).

Conclusion: Continuous nursing care based on Information, Knowledge, Attitude, and Practice theory improved quality of scores at 3 months after intervention among COPD patients. Given limitations of the study, future large-scale studies are needed to validate our results.

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Conflict of interest statement

The authors report no conflicts of interest.

Figures

Figure 1
Figure 1
Comparison of the 2 groups on SGRQ total scores at 3 time points. The graph of the comparison of the 2 groups on SGRQ total scores at 3 time points was illustrated according to time as abscissa and the total scores mean as ordinate. The green line is the control group and the blue line is the intervention group.
Figure 2
Figure 2
Comparison of the 2 groups of Impact scores at 3 time points. The graph of the comparison of the 2 groups on Impact scores at 3 time points was illustrated according to time as abscissa and the Impact scores mean as ordinate. The green line is the control group and the blue line is the intervention group.
Figure 3
Figure 3
The comparison of the 2 groups of Symptom scores at 3 time points. The graph of the comparison of the 2 groups of Symptom scores at 3 time points was illustrated according to time as abscissa and the Symptom scores mean as ordinate. The green line is the control group and the blue line is the intervention group.
Figure 4
Figure 4
Comparison of the 2 groups of Activity scores at 3 time points. The graph of the comparison of the 2 groups of Activity scores at 3 time points was illustrated according to time as abscissa and the Activity scores mean as ordinate. The green line is the control group and the blue line is the intervention group.
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