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Published on: July 12, 2024
Precision Nursing Guided by IKAP Theory for Volume Management in Elderly Patients with Chronic Heart Failure: A
Lulu Ma1, Liang Tao2, Yulan Liu3
1Lulu Ma Department of Cardiovascular 2, Xiangtan City Central Hospital, Xiangtan, Hunan Province 411100, P.R. China.
Objective:
To explore the efficacy of precision nursing based on the Information-Knowledge-Attitude-Practice (IKAP) theory in volume management of elderly patients with chronic heart failure (CHF).
Methodology:
This single-center retrospective study included 115 elderly patients with CHF admitted between May 2022 and March 2025. Patients received either routine nursing (control group, n=56) or IKAP-guided precision nursing for volume management (study group, n=59). Key outcomes included self-care/volume-management ability, cardiac function, volume management related indicators, and complications.
Results:
After intervention, self-care/volume-management scores improved in both groups and were higher in the study group (all P<0.05). The study group showed better echocardiographic parameters (higher LVEF and lower LVEDD/LVESD) and more favorable volume-management-related indicators than the control group (all P<0.05), with fewer complications (3.38% vs 14.29%, P<0.05).
Conclusion:
IKAP-guided precision nursing may improve self-care for volume management and cardiac function and reduce complications in elderly patients with CHF, supporting a structured, theory-driven nursing approach in routine practice.
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