ArticlePatient preference and adherence2026
Combined IKAP-Based Continuity Care and Bundle Care in Patients Undergoing Cerebrovascular Interventional Surgery: A Retrospective Study.
Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Cerebrovascular interventional surgery requires comprehensive postoperative care for long-term recovery. While bundle care standardizes acute management, it often lacks structured post-discharge support. This study evaluated the added benefit of combining Information-Knowledge-Attitude-Practice (IKAP) theory-based continuity care with bundle care. Methods: A retrospective comparative study was conducted on 88 patients treated between April 2022 and April 2024. Based on the standard care protocol at admission, patients were non-randomly assigned to a control group (n = 44, receiving bundle care) or an observation group (n = 44, receiving bundle care plus a 3-month IKAP-based continuity care program). The IKAP program included structured WeChat-based education, bi-weekly behavioral coaching, and family support. Outcomes assessed at baseline and 3 months included disease knowledge awareness rate, psychological resilience (Connor-Davidson Resilience Scale, CD-RISC), activities of daily living (Barthel Index, BI), sleep quality (Pittsburgh Sleep Quality Index, PSQI), self-management ability, and patient satisfaction. Analysis of covariance (ANCOVA) was used to compare post-intervention scores between groups, adjusting for baseline values. Results: Baseline characteristics were comparable between groups (all P > 0.05). At 3 months, the observation group showed a significantly higher disease knowledge awareness rate (93.2% vs. 77.3%, χ Conclusion: Integrating IKAP-based continuity care with bundle care was associated with better short-term recovery outcomes compared to bundle care alone after cerebrovascular intervention. This model warrants prospective validation.
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