基于信息-动机-行为技巧模型的个体化用药管理方案在帕金森病患者中的应用  

Application and evaluation of individualized drug management based on IMB model in patients with Parkinson's Disease

作　　者：原曼 尹安春[1] 梁战华[2] 刘启贵[3] 张秀杰[2] 周丹[1] 

机构地区：[1]大连医科大学附属第一医院护理部,辽宁省116000 [2]大连医科大学附属第一医院神经内科,辽宁省116000 [3]大连医科大学公共卫生学院

出　　处：《中国护理管理》2018年第2期179-184,共6页Chinese Nursing Management

基　　金：辽宁省科技厅科学技术计划项目(2013225002);2015年度辽宁经济社会发展立项课题(2015lslktzijjx-13)

摘　　要：目的 :研究基于信息-动机-行为技巧(IMB)模型的个体化用药管理方案在帕金森病患者中应用的效果。方法 :选取大连市某三级甲等医院神经内科帕金森病患者100例,随机分为实验组和对照组各50例。对照组患者进行常规的用药指导,实验组患者在接受常规指导的基础上实施基于IMB模型的个体化用药管理方案。分别在入组时,干预2周、1个月和3个月时测评患者的服药信念、自我效能、用药依从性和生活质量水平。结果 :实验组患者服药信念、自我效能和生活质量的变化幅度均优于对照组(P<0.05),且实验组患者在干预后三个时间点的服药信念、自我效能、用药依从性和生活质量均高于对照组患者(P<0.05)。结论 :基于IMB模型的个体化用药管理方案可有效提高帕金森病患者的服药信念和自我效能,进而改善患者的用药依从性,提高患者的生活质量,为临床慢性病患者用药管理提供参考。Objective：To verify the effect of individualized drug management based on Information-MotivationBehavioral（IMB） model in the patients with Parkinson＇s Disease,in order to provide a new path for clinical nursing practice.Methods：A total of 100 patients with Parkinson＇s Disease in department of neurology in a tertiary grade A hospital were randomly divided into experimental group（n=50） and control group（n=50）.The patients in the control group were given routine medication guidance,while patients in the experimental group were treated with the individualized drug management based on the IMB model.The medication beliefs,self-efficacy,medication compliance and quality of life were measured when grouped,the second week,first month and third month after discharge.Results：The change of medication belief,selfefficacy and quality of life in the experimental group were better than those in the control group（P〈0.05）,and the medication belief,self-efficacy,medication compliance and quality of life were significantly higher in the experimental group than those in the control group at three time points after discharge（P〈0.05）.Conclusion：The individualized medication administration based on IMB model can effectively improve the medication belief and self-efficacy,thereby improves patients＇ medication compliance and the patients＇ quality of life,thus provide a new path for clinical management.

关 键 词：帕金森病 信息-动机-行为技巧模型 用药依从性 生活质量 

分 类 号：R47[医药卫生—护理学]