Effect Of IKAP Model On Drug Literacy Of Patients With Coronary Heart Disease And Type 2 Diabetes Mellitus

Objectives1.To explore the intervention effect of health education based on IKAP model on medication literacy of patients with coronary heart disease and type 2 diabetes mellitus.2.Verify the intervention effect of health education based on IKAP model on medication belief of patients with coronary heart disease and type 2 diabetes mellitus.3.Through scientific medication guidance for patients with coronary heart disease and type 2 diabetes mellitus,improve the level of medication literacy,enhance positive medication belief,and explore ways to improve patients’ wrong medication behavior and reduce medication errors.MethodsFrom November 2019 to July 2020,94 patients with coronary heart disease and type 2 diabetes mellitus hospitalized in the Department of a class III hospital in Dalian city were selected as the research objects.47 patients in department 1 of Cardiology were selected as the intervention group and 47 patients in department 2 of Cardiology were selected as the control group.The control group was given routine health education,and the intervention group was given IKAP model to intervene the medication literacy and medication belief of the patients.The medication literacy and medication belief levels of the two groups before and after the intervention were compared.During the study,the general medication literacy questionnaire and inpatient belief scale were used to evaluate the patients’ medication quality.SPSS25.0 statistical software was used for data analysis,and mean,standard deviation,frequency and percentage were used for descriptive analysis of general data;x2,t-test and nonparametric rank sum test were used to compare the baseline data between the two groups;2 independent sample t-test was used to compare the medication literacy and medication belief between the two groups before and after intervention,and paired sample t-test was used to compare the difference The medication literacy and medication belief of the two groups before and after intervention were compared.P<0.05 means the difference is statistically significant.Results1.General information results showed that there were no significant differences in general information,medication literacy score and medication belief score between the two groups(P > 0.05).2.Comparison of medication literacy scores between the two groups.There was no significant difference in the score of medication literacy between the two groups before the intervention(P > 0.05).After the intervention with IKAP mode,the score of drug literacy in the intervention group was significantly higher than that in the control group(P < 0.05).3.Comparison of medication belief scores between the two groups.There was no significant difference in the total score of medication belief,the dimension score of necessity belief and concern belief between the two groups before intervention(P >0.05)After the intervention of IKAP mode,the total score of medication belief and the dimension score of necessity belief in the intervention group were significantly higher than those in the control group(P < 0.05);the dimension score of worry belief was lower than that before the intervention and in the control group,but there was no significant difference compared with the control group(P > 0.05).Conclusions1.IKAP model of health education can significantly improve the level of medication literacy in patients with coronary heart disease and type 2 diabetes mellitus.2.The health education of IKAP model can improve the level of medication belief of patients with coronary heart disease and type 2 diabetes,strengthen the positive belief of medication,and reduce the concerns of medication.3.The health education of IKAP model improves the medication literacy level of patients with coronary heart disease and type 2 diabetes mellitus,enhances the positive medication belief,and provides new ideas for improving the wrong medication behavior of clinical patients and reducing medication errors.