信息-动机-行为技巧模型在改善慢性心力衰竭患者生活质量中的应用  

Application of Information-Motivation-Behavioral skills model on the improvement of life quality for patients with chronic heart failure

作　　者：陈丽萍[1] 吴少琼[1] 符娇珠[1] 吴永娟[1] 陈录清[1] 王丽娜[1] 林妙春[1] 郭观华[1] Chen Liping;Wu Shaoqiong;Fu Jiaozhu;Wu Yongjuan;Chen Luqing;Wang Li′na;Lin Miaochun;Guo Guanhua(Second Department of Cardiology, Central People s Hospital of Zhanjiang, Guangdong Province, Zhanjiang524045, China)

机构地区：[1]广东省湛江中心人民医院心内二科,湛江524045

出　　处：《中华现代护理杂志》2019年第16期2043-2046,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨信息-动机-行为技巧模型(IMB)在改善慢性心力衰竭患者生活质量中的应用效果.方法2018年2-5月采用便利抽样法选择在湛江中心人民医院住院治疗的慢性心力衰竭患者90例,采用随机数字表法分为试验组和对照组,每组各45例.试验组在对照组常规护理的基础上,给予以IMB理论为指导的干预措施.通过明尼苏达州心衰患者生活质量问卷(MLHFQ)在干预前后,对慢性心力衰竭患者生活质量的改善效果进行分析.结果干预前试验组和对照组患者生活质量评分分别为(65.11±11.31)、(66.05±14.72)分,两组差异无统计学意义(P>0.05).干预后试验组患者生活质量评分为(50.99±14.56)分,低于对照组患者的(58.57±12.95)分,差异有统计学意义(P<0.05).结论以IMB理论为指导的干预措施可以有效提高慢性心力衰竭患者的生活质量.Objective To explore the effects of applying Information-Motivation-Behavioral skills model (IMB) on the improvement of life quality for patients with chronic heart failure (CHF). Methods Totally 90 patients with CHF were selected By convenient sampling and divided into two groups based on random number table with 45 cases in each group. The control group received routine nursing care, while the experiment group received the nursing invention guided by the IMB besides the routine nursing care. The Minnesota Living with Heart Failure Questionnaire (MLHFQ) was used to evaluate the CHF patients1 improvment status of their life quality before and after intervention. Results Before intervention, there were not statistical differences between the experimental group(65.11 ± 11.31) and control group(66.05 ± 14.72) in terms of their life quality (P > 0.05). After intervention, the score from MLHFQ in the experiment group (50.99 ± 14.56) was lower than the control group (58.57 ± 12.95) with statistical significance (P<0.05). Conclusions The application of IMB model can effectively improve life quality of CHF patients.

关 键 词：心力衰竭 生活质量 健康教育 信息-动机-行为技巧模型 

分 类 号：R473.5[医药卫生—护理学]