信息-动机-行为干预在内镜下肠息肉切除患者中的应用  

Application of information-motivation-behavior skills model based intervention for patients after endoscopic resection of intestinal polyps

作　　者：张露洁[1] 陶震华[1] 陈玉宇[2] Zhang Lujie;Tao Zhenhua;Chen Yuyu(Department of Gastroenterology, Wuxi No.2 People's Hospital, Wuxi 214000, China;Emergency Department, Wuxi No.2 People's Hospital, Wuxi 214000, China)

机构地区：[1]无锡市第二人民医院消化内科,214000 [2]无锡市第二人民医院急诊科,214000

出　　处：《中华现代护理杂志》2019年第17期2188-2191,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨信息-动机-行为干预对内镜下肠息肉切除患者恐惧疾病进展和术后并发症发生率的影响。方法采用便利抽样法,选取2017年1月-2018年6月期间在无锡市第二人民医院消化内科拟行内镜下肠息肉切除的患者129例为研究对象。按照随机数字表分为对照组和试验组,试验组患者65例,对照组患者64例,对照组患者接受常规护理,试验组患者在常规护理基础上接受信息-动机-行为干预,比较两组患者干预前后恐惧疾病进展得分,以及术后愈合情况和并发症发生情况。结果干预后,试验组患者恐惧疾病进展得分为(29.18±7.84)分,对照组患者恐惧疾病进展得分为(35.62±9.43)分,试验组低于对照组,差异具有统计学意义(P<0.05)。术后试验组患者愈合63例,2例出现并发症,其中1例出血、1例溃疡;对照组患者愈合54例,10例出现并发症,其中6例出血、2例穿孔、3例溃疡,试验组患者术后并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论信息-动机-行为干预可以缓解内镜下肠息肉切除患者恐惧疾病进展、减少术后并发症发生率。Objective To explore the influence of the information-motivation-behavior skills model based intervention on patients' fear of disease progression and incidence of postoperative complications in patients after endoscopic resection of intestinal polyps. Methods By convenience sampling, 129 patients who planned to undergo endoscopic resection of intestinal polyps in the Department of Gastroenterology, Wuxi No.2 People's Hospital from January 2017 to June 2018 were selected as the participants in this study. According to the random number table, they were divided into the control group (n=64) and the observation group (n=65). The control group received routine nursing care, while the observation group received the information-motivation-behavior skills model based intervention on the basis of the routine care. The two groups were compared in the scores of fear of disease progression, recover condition and incidence of postoperative complications. Results After intervention, the score of fear of disease progression in the observation group (29.18±7.84) was lower than the control group (35.62±9.43) with statistical difference (P<0.05). After surgery, in the observation group 63 patients recovered, 2 patients developed complications among whom one patient experienced bleeding, and the other one patient developed ulcers. In the control group, 54 patients recovered, 10 patients developed complications among whom 6 patients experienced bleeding, 2 patients got perforation and 3 patients developed ulcers. The incidence of postoperative complications in the observation group was lower than the control group with statistical difference (P<0.05). Conclusions Information-motivation-behavior skills model based intervention can reduce the patients' fear of disease progression as well as the incidence of postoperative complications in the patients after endoscopic resection of intestinal polyps.

关 键 词：肠息肉 肠息肉切除 信息-动机-行为干预 恐惧疾病进展 术后并发症 

分 类 号：R473.5[医药卫生—护理学]