Discussion on the effect of applying the knowledge-attitude-action model in the nursing managementof elderly patients with fecal incontinence in the prevention of incontinence dermatitis
预防老年大便失禁患者失禁性皮炎护理管理中应用知信行模式的效果探讨

摘要

目的 为达到预防老年大便失禁老年患者失禁性皮炎的目的，在本文中着重探究了知信行模式的实际应用效果。方法 此次研究共选取132例老年患者进行对比实验，均为大便失禁，采取盲抽方式根据护理模式的区别进行分组，沿用常规护理的对照组与在此基础上应用知信行模式的观察组各66例患者，对比两组实际临床效用价值。结果 经实验中各项数据表明，观察组患者的皮肤护理时间及护理次数均少于对照组，并且失禁性皮炎发生率大幅度降低，患者满意度较高（P＜0.05）。结论 对于老年大便失禁患者而言，知信行模式的实施不仅能够有效缩短患者皮肤护理时间、减少护理次数，更可大大降低失禁性皮炎问题的发生。

Abstract

Objective In order to achieve the purpose of preventing incontinence dermatitis in elderly patients with fecal incontinence, this paper focuses on the practical application effect of the knowledge-attitude-action model.
Methods In this study, a total of 132 elderly patients were selected for comparative experiments. All of them were fecal incontinence. They were divided into groups according to the difference in nursing mode by means of blind sampling. There were 66 patients in each group, and the actual clinical utility value was compared between the two groups.
Results The data in the experiment showed that the skin care time and times of the patients in the observation group were less than those in the control group, and the incidence of incontinence dermatitis was greatly reduced, and the patient satisfaction was higher (P<0.05).
Conclusion   For elderly patients with fecal incontinence, the implementation of the KAP model can not only effectively shorten the time and frequency of skin care, but also greatly reduce the occurrence of incontinence dermatitis.