Continuous nursing care based on IKAP theory reduced readmission rate to 5.8% compared to 10.2% with conventional care in adult patients undergoing cardiopulmonary bypass surgery.
Cohort (n=372)
No
Does continuous nursing care based on IKAP theory improve compliance, quality of life, and reduce readmissions in adult patients discharged after cardiopulmonary bypass surgery?
Continuous nursing care based on IKAP theory improves patient compliance, self-efficacy, and quality of life, while reducing readmission rates after cardiopulmonary bypass surgery.
Effect estimate: P<0.05
Absolute Event Rate: 5.8% vs 10.2%
p-value: p=<0.05
This prospective study intends to investigate the effect of the Information–Knowledge–Attitude–Practice (IKAP) theory combined with continuous nursing care on patients undergoing cardiopulmonary bypass (CPB) surgery. The continuous nursing care based on IKAP theory has been applied in our department since January 2023. Patients discharged from hospital between March 2022 and December 2022 were included in the control group, while patients discharged from hospital between January 2023 and June 2024 were included in the observation group. After discharge for three months, the compliance, self-perception and quality of life of patients in the two groups were evaluated by filling in an online questionnaire. A total of 372 valid questionnaires were received with response rate of 81.6%, including 98 in the control group and 274 in the observation group. The IKAP-based continuous nursing care could significantly improve the compliance rate in vital signs monitoring and lifestyle management (P < 0.05), while there was no significant difference in the compliance rate of therapeutic regimen. The SPBS score of self-perceived burden in observation group was significantly lower than that in control group (P < 0.05), and there were significant improvements in physical burden, emotional burden and economic burden (P < 0.05). The GSES score of self-efficacy in observation group was significantly higher than that in control group (P < 0.05). WHOQOL-BREF score was used to reflect the quality of life. The results showed that the total score of WHOQOL-BREF in observation group was significantly higher than that in control group (P < 0.05). The IKAP-based continuous nursing care significantly improved the quality of life of patients from three dimensions of psychology, physiology and environment (P < 0.05), but has no significant impact on social relations. The readmission rate in observation group was significantly lower than that in control group during the follow-up (P < 0.05). Logistic regression analysis showed that GSES score was an independent protective factor for re-admission. Continuous nursing care based on IKAP theory for discharged patients undergoing CPB surgery can effectively improve patients’ compliance and self-efficacy levels, ease their self-perceived burden, and help increase life quality by strengthening their self-management ability after discharge. The bias caused by imbalance in sample size and time-related confounding factors still makes the results of this study require further verification.
Chen et al. (Mon,) conducted a cohort in Adult patients undergoing cardiopulmonary bypass surgery discharged from hospital (n=372). Continuous nursing care based on Information–Knowledge–Attitude–Practice (IKAP) theory vs. Conventional nursing care was evaluated on Readmission rate within three months after discharge (P<0.05, p=<0.05). Continuous nursing care based on IKAP theory reduced readmission rate to 5.8% compared to 10.2% with conventional care in adult patients undergoing cardiopulmonary bypass surgery.