信息-动机-行为模式联合聚焦解决模式在原发性大肝癌患者中的应用  

Effects of information-motivation-behavior model combined with solution focused approach in primary large liver cancer

作　　者：董蓓 王红军 沙静瑶 丁亚 徐晓霞 Dong Bei;Wang Hongjun;Sha Jingyao;Ding Ya;Xu Xiaoxia(The First Hepatobiliary and Pancreatic Surgery,the Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450008,China;Nursing Department,the Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450008,China)

机构地区：[1]郑州大学附属肿瘤医院(河南省肿瘤医院)肝胆胰腺外科一病区,郑州450008 [2]郑州大学附属肿瘤医院(河南省肿瘤医院)护理部,郑州450008

出　　处：《中华现代护理杂志》2020年第14期1899-1902,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨信息-动机-行为模式(IMB)联合聚焦解决模式(SFA)在原发性大肝癌(PLLC)患者中的应用效果。方法采用便利抽样法,选取郑州大学附属肿瘤医院2017年1月-2018年1月收治的123例PLLC患者作为研究对象,按照随机数字表法分为A组(61例)与B组(62例)。A组单纯予以常规护理模式干预,B组采取IMB联合SFA进行干预。采用肝癌患者生活质量评价量表(QOL-LC)、中文版癌症自我管理效能感量表(C-SUPPH)及Herth希望量表评价干预的效果。结果两组PLLC患者入院时的QOL-LC、C-SUPPH、Herth希望量表评分比较,差异无统计学意义(P>0.05);B组PLLC患者出院时、出院后15 d的QOL-LC、C-SUPPH、Herth希望量表评分均高于A组,差异有统计学意义(P<0.05)。结论在PLLC患者的临床干预过程中,结合患者的具体病情科学、合理地予以IMB联合SFA干预对改善其QOL-LC评分、C-SUPPH评分、Herth希望量表评分均有帮助,是提高整体治疗效果的辅助性干预措施之一,临床应用与推广价值较好。Objective To explore the effects of information-motivation-behavior(IMB)model combined with solution focused approach(SFA)in primary large liver cancer(PLLC).Methods From January 2017 to January 2018,this study selected 123 PLLC patients of the Affiliated Cancer Hospital of Zhengzhou University as subjects by convenience sampling.All of patients were divided into group A(n=61)and group B(n=62)with the random number table.Group A carried out the routine nursing model,while group B implemented the IMB model combined with the SFA.The intervention effects were evaluated with the Quality of Life-Liver Cancer(QOL-LC),the Chinese Strategies Used by People to Promote Health(C-SUPPH)and the Herth Hope Index(HHI).Results Among those PLLC patients between two groups,there were no statistical differences in the scores of QOL-LC,C-SUPPH and HHI on admission(P>0.05).The scores of QOL-LC,C-SUPPH and HHI of PLLC patients in group B at discharge,15 days after discharge were higher than those in group A with statistical differences(P<0.05).Conclusions In the process of clinical intervention for PLLC patients,scientific and reasonable IMB model combined with SFA based on patients'condition can improve the scores of QOL-LC,C-SUPPH and HHI which is one of the subsidiary intervention for improving the whole therapeutic effects and has good application as well as promotion values.

关 键 词：原发性大肝癌 信息-动机-行为技巧模式 聚焦解决模式 生活质量 

分 类 号：R473.73[医药卫生—护理学]