信息-动机-行为技巧模型在COPD患者呼吸功能锻炼中的应用  

Application of information-motivation-behavioral skills model on respiratory function exercise in patients with COPD disease

作　　者：姚晶 方思 汪滢 朱艳 张力[1] 倪芳 YAO Jing;FANG Si;WANG Ying;ZHU Yan;ZHANG Li;NI Fang(The Central Hospital of Wuhan,Tongji Medical College Huazhong University of Science&Technology,Wuhan 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院,湖北武汉430014

出　　处：《现代医学》2020年第3期400-404,共5页Modern Medical Journal

基　　金：湖北省科技计划项目(2018CFC815)。

摘　　要：目的:探讨信息-动机-行为技巧模型(IMB模型)在慢性阻塞性肺疾病(COPD)患者呼吸功能锻炼中的应用效果,为提高健康教育效果提供新思路。方法:随机选取住院治疗的98例COPD患者,按入院时间先后分为对照组(48例)和观察组(50例)。对照组仅接受常规护理和健康教育,观察组在此基础上实施IMB模型的护理干预。比较两组患者出院时COPD疾病知识的掌握情况,出院1、3个月呼吸功能锻炼的依从性及生活质量。结果:出院时观察组患者COPD相关知识得分高于对照组;出院1、3个月时,观察组患者呼吸功能锻炼依从性均高于对照组,COPD评估测试得分均低于对照组,差异均有统计学意义(P<0.05)。结论:采用IMB模型可提高患者对COPD疾病知识的掌握程度,改善患者呼吸功能锻炼依从性,提高患者的生活质量。Objective: To explore the application effect of information-motivation-behavioral skills model(IMB model) on respiratory function exercise in patients with COPD disease,and provide new ideas for improving health education.Methods: 98 cases of COPD hospitalized patients were randomly selected and divided into control group(48 cases) and observation group(50 cases) according to the time of admission.The control group received routine care and health education,on top of which,IMB model-based nursing interventions were provided in the observation group.The knowledge of COPD when discharged,the compliance of respiratory function exercise and the life quality after discharged 1 and 3 months were compared.Results: At the time of discharge,the scores of patients with knowledge of COPD in the observation group were higher than that in the control group;1 and 3 months after discharge,the compliance of respiratory function exercise in the observation group was higher than that in the control group.The score of the chronic obstructive pulmonary disease evaluation test(CAT) in the observation group was lower than that of the control group at the time of 1 and 3 months after discharge,and the difference is statistically significant(P<0.05).Conclusion: IMB model-based interventions can enhance patients’ knowledge of COPD and rehabilitation compliance,improve patients’ life quality.

关 键 词：信息-动机-行为技巧模型 慢性阻塞性肺疾病 呼吸功能锻炼 

分 类 号：R473.56[医药卫生—护理学]