Study On The Effect Of Nursing Intervention Based On Kap Theory On The Knowledge-Attitude-Practice Level Of The Elderly People With Mild Cognitive Impairment

Objective:1.To understand the status of knowledge-attitude-practice and influencing factors on the elderly with mild cognitive impairment2.To evaluate the effect of nursing intervention based on KAP theory on the level of knowledge-attitude-practice on the elderly with mild cognitive impairment.Methods:1.Thisstudycarriedoutthecompilationofaquestionnaireon knowledge-attitude-practice of the elderly with mild cognitive impairment through literature review and expert consultation method.The reliability and validity of the questionnaire were tested.2.From March 2018 to June 2018,225 cases of elderly people in three elderly institutions in Taiyuan were investigated by using a questionnaire on KAP of mild cognitive impairment.The general information of the survey subjects was statistically described.The t-test,variance analysis and multivariate linear regression methods were used to analysis the status of KAP and its influencing factors.3.From August 2018 to October 2018,through convenient sampling methods,40elderly people who met the standards of the study were selected as the research subjects,the senior citizens'apartments in Shanxi Province.The KAP theory was used as the theoretical framework,and specific intervention measures were based on?2017 Guide to Diagnosis and Treatment of mild cognitive impairment?.The quasi-experimental study were used for intervention.The intervention time was 3 months.The T test and the rank and test were used to compare the differences in scores of the KAP of questionnaire and MoCA before and after intervention.Results:1.The KAP questionnaire results showed that the attitude dimension reliability coefficient value was 0.818,the knowledge dimension reliability coefficient value was0.961,the practice reliability coefficient value was 0.932,and the KAP questionnaire total reliability coefficient value was 0.976.39 entries I-CVI are greater than 0.78,Each I-CVI calculation averages S-CVI/Ave to 0.97,greater than 0.90,the content validity of the questionnaire is better.The validation factor analysis shows:?~2/df=2.332,comparative fitting index CFI=0.893,GFI=0.918,TLI=0.902,approximate square root error RMSEA=0.056,and indicates that each indicator fits well.2.The total score of the old-age institutions elderly with MCI of KAP questionnaire was(66.21±8.696),the knowledge dimension score was(26.86±4.240),the attitude dimension score was(15.39±3.148),and the practice dimension score was(23.97±4.569).The single factor analysis found that the educational level,marital status,pre-retirement occupation and other factors had a statistically significant effect on the score of the questionnaire(P<0.05).However,there was no statistically significant in the influence of factors such as sex,age,economic income,basic diseases,sleep,smoking,drinking,and exercise(P>0.05).The results of multiple regression linear analysis show that the educational level and marital status enter the regression model.3.The study found that the differences in the total score of the KAP questionnaire,knowledge dimension,attitude dimension,and practice dimension were significant before and after the intervention(P<0.01).In the score of the MoCA scale before and after the intervention of MCI patients,there is no statistical difference in total scores,pace and execution function,language,delayed memory,and fixed force,(P>0.05).There was statistical significance in terms of naming,attention,and abstraction(P<0.05).Conclusion:1.The total score of the KAP questionnaire on mild cognitive impairment and the scores of each dimension were low for the elderly in the old-age institutions.The factors affecting the cognitive impairment of the elderly with mild cognitive impairment in the elderly are:the educational level and marital status.The old-age care institution should fully consider the elderly own situation,and conduct health guidance based on previous surveys.2.The intervention program based on KAP theory can improve the level of KAP of the elderly with mild cognitive impairment.The intervention scheme of this study is a scientific and reasonable,sustainable development,low cost and good benefit,and practical pension.The intervention program have certain practical and promotional significance.