Effect of continuity of care based on IKAP theory on caregiver burden and symptom management in patients with chronic obstructive pulmonary disease - Report - MDSpire

Effect of continuity of care based on IKAP theory on caregiver burden and symptom management in patients with chronic obstructive pulmonary disease

  • By

  • Qiaoling Zhang

  • Huafei Yan

  • Chenfang Li

  • June 29, 2026

  • 0 min

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Clinical Report: Impact of IKAP Theory-Based Continuous Care on Caregiver Strain

Overview

This study evaluates the effectiveness of IKAP theory-based continuous care on symptom management and caregiver burden in COPD patients. Results indicate improvements in caregiver burden and patient outcomes compared to routine care.

Background

Chronic obstructive pulmonary disease (COPD) is a prevalent and debilitating condition that significantly impacts patients' quality of life and increases caregiver burden. Effective management strategies are essential to improve patient outcomes and alleviate the strain on caregivers. Continuity of care, particularly through structured interventions like the IKAP theory, may enhance symptom control and support for both patients and caregivers.

Data Highlights

OutcomeIntervention Group (T3)Control Group (T3)P-value
ZBI-22 ScoreLowerHigher< 0.001
CAT ScoreLowerHigher< 0.001
SGRQ Total Score43.4 ± 10.960.3 ± 11.7< 0.001
Knowledge Level58.0%< 20%< 0.001
Medication Adherence64.0%< 30%< 0.001
ESCA Score122.1 ± 10.295.0 ± 8.1< 0.001

Key Findings

  • IKAP-based continuity care reduced caregiver burden as measured by the ZBI-22.
  • Patients in the intervention group showed improved COPD-related health status (CAT scores) compared to the control group.
  • Quality of life, assessed via the SGRQ, improved in the intervention group.
  • Knowledge levels among patients increased from less than 20% to 58% in the intervention group.
  • Medication adherence improved from less than 30% to 64% in the intervention group.
  • Self-care ability, measured by ESCA scores, was higher in the intervention group.

Clinical Implications

This approach could serve as a model for chronic disease management and supporting caregivers.

Conclusion

IKAP-based continuity care demonstrates benefits in managing COPD symptoms and reducing caregiver burden.

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