信息-动机-行为模型在2型糖尿病患者护理中的应用研究  

Study of nursing in IMB skills model in treating type Ⅱ diabetes

作　　者：袁文华[1] 陈莉[1] 李淑华[1] 王特[2] 林田 

机构地区：[1]广州医学院第一附属医院内科,510250 [2]广州医学院第一附属医院门诊皮肤科,510250 [3]广东省药学院护理学院护理教研室

出　　处：《中华现代护理杂志》2011年第21期2487-2489,共3页Chinese Journal of Modern Nursing

基　　金：广东省医学科学技术研究基金项目（WSTJJ2009120743010519810812056X）

摘　　要：目的以IMB模型（Information—Motivation—Behavioral Skills Model信息-动机-行为技巧模型）为理论基础制定干预措施，提高患者的自护水平，控制血糖和减少并发症的发生。方法随机选取100名确诊为2型糖尿病患者为研究对象，其中50名为对照组，另50名为研究组。对照组实施常规治疗，研究组除常规治疗外，另辅以IMB模型干预措施，观察研究组和对照组患者自护行为水平的差异及出院前空腹血糖水平接近正常值（3．9～6．0mmol／L；70—108ms／dl）的情况；出院时通知两组患者于3个月后回原治疗医院复查，继续观察其自护行为水平的差异及血糖水平。结果两组患者自我效能评分、空腹血糖、餐后2h血糖比较差异均具有统计学意义（P〈0．05）。结论信息-动机-行为技巧模型综合考虑了行为转变过程中的因素，强调行为技巧对行为改变的影响，促使患者执行良好的自护行为，为2型糖尿病患者的治疗和康复提供了新途径。Objective This research takes the IMB model （Information-Motivation-Behavioral Skills Model） as the theoretical basis for intervention measures, aimed at enhancing the sell-care level of patients, in order to control the blood sugar and complication occurrence. Methods One hundred patients diagnosed as type II diabetes are stochastically selected as subjects of the study, 50 are as the contrast group, another 50 as the experimental group. The conventional treatment is implemented to the contrast group, while the experimental group receives, besides the conventional treatment, an additional auxiliary treatment by the IMB model intervention measures. Observation is given to the difference between the levels of sell-care behaviors of the two groups and the average time （days） difference of their fasting plasma glucose level approaching the normal standards-3.9 to 6.0 mmol/L （70 to 108 mg/dL） before they are discharged from the hospital; When being discharged from the hospital, patients of the two groups are informed to return for reexamination after three months. Continual observation is given to the difference of their self-care behavioral levels and their blood sugar levels. Results Reexamination content includes sell-potency grading, fasting plasma glucose. Software SPSS T- test is applied for the comparison between the two groups＇ items, P 〈 0.05, indicating statistic significance of the difference. Conclusions In the Information-Motivation-Behavioral Skills Model, overall evaluation is given to the behavioral factors in transformation, emphasizing the influence of behavior skills on the behavioral change, urging the patients to perform good self-care behavior, and providing a new way for type Ⅱ diabetic treatment and recovery.

关 键 词：信息-动机-行为技巧模型 2型糖尿病 自护行为 干预措施 

分 类 号：R473.5[医药卫生—护理学]