摘要

【摘要】
目的 探讨基于信息-知识-信念-行为（Information-Knowledge-Belief-Behavior IKAP）模式的延续护理用于突发性耳聋合并轻度抑郁患者的效果。

方法 选择2024年1月～2024年6月本院收治的突发性耳聋合并轻度抑郁患者80例，随机数表法分为2组，分别为对照组和观察组，各40例。对照组行常规护理干预，在此基础上观察组行基于IKAP模式的延续护理干预。在干预1个月后评估效果，比较两组听力恢复有效率、心理状态[汉密尔顿焦虑量表（Hamilton Anxiety Rating Scale，HAMA）、汉密尔顿抑郁量表（Hamilton Depression Rating Scale，HAMD）评估]及生活质量。

结果 观察组听力恢复总有效率高于对照组（P＜0.05）。两组干预后HAMD、HAMA评分均降低，且观察组较对照组低（P＜0.05）。观察组干预后生活质量各维度分均较对照组高（P＜0.05）。

结论 基于IKAP模式的延续护理可促进患者听力恢复，改善其负性情绪，提高患者生活质量。

关键词：【关键词】 信息-知识-信念-行为模式；延续护理；突发性耳聋；轻度抑郁

ABSTRACT

【Abstract】
Objective To exploring the effectiveness of continuity of care based on the Information Knowledge Belief Behavior (IKAP) model for patients with sudden sensorineural hearing loss and mild depression.

Methods Eighty patients with sudden sensorineural hearing loss and mild depression admitted to our hospital from January 2024 to June 2024 were randomly divided into two groups using a random number table method: a control group and an observation group, with 40 patients in each group. The control group received routine nursing interventions, and on this basis, the observation group received continued nursing interventions based on the IKAP model. After one month of intervention, the effectiveness of hearing recovery, psychological status [evaluated by Hamilton Anxiety Rating Scale (HAMA), Hamilton Depression Rating Scale (HAMD)], and quality of life were compared between the two groups.

Results The total effective rate of hearing recovery in the observation group was higher than that in the control group (P<0.05). After intervention, both groups showed a decrease in HAMD and HAMA scores, and the observation group was lower than the control group (P<0.05). After intervention, the observation group had higher scores in all dimensions of quality of life than the control group (P<0.05).

Conclusion   Continuing care based on the IKAP model can promote patients' hearing recovery, improve their negative emotions, and enhance their quality of life.

Key words: 【Key words】 Information-Knowledge-Belief-Behavior pattern; Continuing care; Sudden sensorineural hearing loss; Mild depression