信息-动机-行为护理模式在低温等离子扁桃体切除术术前术后的应用效果  

Effects before and after operation of patients with Information-motivation-behavior nursing model in low-temperature plasma tonsillectomy

作　　者：耿璨 秦小夜 范永华[1] Geng Can;Qin Xiaoye;Fan Yonghua(E.N.T.Department,the First People′s Hospital of Lianyungang,Jiangsu Province,Lianyungang 222200,China)

机构地区：[1]江苏省连云港市第一人民医院耳鼻喉科,222200

出　　处：《中国实用护理杂志》2020年第21期1639-1643,共5页Chinese Journal of Practical Nursing

摘　　要：目的:探讨信息-动机-行为护理模式在低温等离子扁桃体切除术术前术后的应用效果。方法:选取我院耳鼻喉科2016年1月至2017年1月收治的132例实施扁桃体切除术的患者为研究对象。采用随机数字表法将所有患者分为观察组和对照组,每组各66例。2组患者均接受低温等离子扁桃体切除术。对照组采用常规护理措施,观察组在对照组基础上接受信息-动机-行为技巧模型(IMB)护理模式,对比2组患者心理情绪评分、手术认知度、行为和生命质量评分。结果:护理前观察组和对照组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分差异无统计学意义( P>0.05);护理1个月后观察组和对照组患者的SAS和SDS评分均有明显下降,观察组SAS评分(40.56 ± 2.12)分,SDS评分(41.33 ± 2.64)分,对照组SAS评分(50.24 ± 2.14)分,SDS评分(47.66 ± 2.57)分,2组比较差异有统计学意义( t值为26.106、13.958, P<0.001)。护理前,观察组和对照组手术认知度差异无统计学意义( P>0.05),护理1个月后观察组认知度为96.97%(64/66),高于对照组的84.85%(56/66),2组比较差异有统计学意义( χ2值为16.810, P<0.001)。观察组规律作息、按时服药、戒烟戒酒、健康饮食、康复训练各项行为评分分别为(96.12 ± 2.33)、(95.72 ± 2.16)、(96.96 ± 2.56)、(95.68 ± 2.14)、(96.45 ± 2.69 )分,均显著高于对照组的(88.42 ± 5.12)、(89.86 ± 5.33)、( 90.13 ± 5.22)、(87.61 ± 5.36)、(88.19 ± 5.43)分,差异具有统计学意义( t值为8.278~11.360, P<0.001);护理1个月后观察组患者健康状况调查简表(SF-36)评分(86.47 ± 6.99)分,明显高于对照组的(74.28 ± 7.23)分,差异具有统计学意义( t值为9.848, P<0.001)。 结论:信息-动机-行为护理模式有助于改善低温等离子扁桃体切除术术前术后患者的心理状态,提高患者对手术的认知度和生命质量。Objective To investigate efficacy before and after operation of Information-motivation-behavior nursing model in low-temperature plasma tonsillectomy.Methods A total of 132 cases of tonsillectomy patients admitted to our department of otolaryngology from January 2016 to January 2017 were selected as research objects.All patients were divided into observation group and control group by random number table method,with 66 cases in each group.Cold plasma tonsillectomy was performed in both groups.The control group received routine nursing measures,and the observation group received IMB nursing mode based on the information-motivation-behavioral skills model.The psychological and emotional scores,surgical awareness,behavior and quality of life scores of patients in the two groups were compared.Results There was no significant difference in Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores of patients in the observation and control groups before nursing,and SAS and SDS scores of patients in the observation group[SAS(40.56±2.12);SDS(40.56±2.12)]and control group[SAS(50.24±2.14);SDS(47.66±2.57)]were significantly decreased after 1 month of nursing(t value was13.958,P=0.000),and there were statistically significant differences in the scores between two groups(t value was 26.106,P=0.000).Before nursing,there was no statistically significant difference in surgical awareness between the two groups,and there was a significant difference in surgical awareness between the observation group(96.97%,64/66)and control group(84.85%,56/66)1 month after nursing(χ2 value was 16.810,P=0.000),and the observation group was higher than the control group.The scores of the observation group on regular work and rest,taking medicine on time,giving up smoking and drinking,healthy diet,and rehabilitation training(96.12±2.33,95.72±2.16,96.96±2.56,95.68±2.14,96.45±2.69)were higher than those of the control group(88.42±5.12,89.86±5.33,90.13±5.22,87.61±5.36,88.19±5.43).There was significant difference in those

关 键 词：信息-动机-行为护理模式 低温等离子 扁桃体切除术 心理状态 

分 类 号：R473.76[医药卫生—护理学]