Abstract
OBJECTIVE: To study the effect of information-knowledge-belief-behavior (IKAP) model-based nursing interventions on elderly patients with chronic obstructive pulmonary disease (COPD)and its impact on self-management ability and quality of life. METHODS: During January 2021 to December 2021, 88 elderly patients with stable COPD cured in our hospital were arbitrarily classified into research group (n=44) and control group (n=44). The former accepted nursing intervention based on IKAP model, while the latter accepted routine nursing. The scores of Morisky medication compliance scale, self-management ability, modified British Medical Research Council modified Respiratory Disorder scale (mMRC), 6-minute walk test and life quality assessment questionnaire of COPD patients were studied before and after 4 weeks of nursing. The data were processed with SPSS23.0 statistical software. RESULTS: According to the Morisky drug compliance scale, the research group scored 7.25 after 4 weeks compared to the control group's score of 6.18 (P<0.05). Research group members scored 181.19 more on self-management ability following 4-week nursing than control group members scored 159.15. Research group 1.72 had a lower mMRC scale score after 4 weeks of nursing than control group 2.15 (P<0.05). Following 4-week care, the research group's 6-minute walking test value was 351.23, compared with the control group's 318.44 (P<0.05). Researchers found that after 4 weeks of nursing, COPD patients in the research group scored 19.47 on the quality of life assessment questionnaire, compared with 24.68 in the control group (P<0.05). CONCLUSION: The clinic application value of nursing intervention based on IKAP model in elderly patients with stable COPD is remarkable, which is beneficial to enhance patients' compliance with medication, ability of self-management, and lessen the condition of dyspnea.