基于IMB模型的健康教育对慢性乙肝患者自我 管理能力的影响  

Effect of IMB model-based health education on self-management ability of patients with chronic hepatitis B

作　　者：庞俏俏 陆增生[1] 吴红娣[1] PANG Qiaoqiao;LU Zengsheng;WU Hongdi(Department of Infectious Diseases,Zhejiang Provincial Tongde Hospital,Hangzhou 310012,China)

机构地区：[1]浙江省立同德医院感染科,浙江杭州310012

出　　处：《中国现代医生》2020年第20期158-161,共4页China Modern Doctor

基　　金：浙江省中医药科学研究基金项目(2016ZB004)。

摘　　要：目的探讨基于IMB模型的健康教育对慢性乙肝患者自我管理能力的影响。方法选择2018年7~12月在我院诊断治疗的慢性乙型肝炎患者100例为研究对象,随机分为干预组与对照组各50例,对照组进行常规健康教育,干预组给予基于IMB模型的健康教育。比较两组干预后自我管理动机评分以及自我管理能力。结果(1)出院后1个月两组自我护理动机自我评价得分均显著高于入组时,差异有统计学意义(P<0.05);出院后1个月干预组自我护理动机自我评价显著高于对照组,差异有统计学意义(P<0.05)。(2)出院后1个月两组疾病治疗管理、日常生活管理、心理社会管理、疾病信息管理评分均显著高于入组时,差异有统计学意义(P<0.05);出院后1个月,干预组疾病治疗管理、日常生活管理、心理社会管理、疾病信息管理评分均显著高于对照组,差异有统计学意义(P<0.05)。结论基于IMB模型的健康教育能够显著提高慢性乙型肝炎患者的自我管理能力。Objective To explore the effect of IMB model-based health education on the self-management ability of patients with chronic hepatitis B.Methods A total of 100 patients with chronic hepatitis B diagnosed and treated in the hospital from July to December 2018 were enrolled in the study and randomly divided into the intervention group and the control group,with 50 patients in each group.The control group was given regular health education and the intervention group was given IMB model-based health education.Self-management motivation scores and self-management ability were compared between the two groups after intervention.Results 1.One month after hospital discharge,the self-evaluation scores of self-nursing motivation of the two groups were significantly higher than those when joining the group,with statistically significant differences(P<0.05).One month after hospital discharge,the self-evaluation score of self-nursing motivation of the intervention group was significantly higher than that of the control group,with statistically significant difference(P<0.05).2.One month after hospital discharge,the disease treatment management,daily life management,psychosocial management and disease information management scores of the two groups were significantly higher than those when joining the group,with statistically significant differences(P<0.05).One month after hospital discharge,the disease treatment management,daily life management,psychosocial management and disease information management scores of the intervention group were significantly higher than those of the control group,with statistically significant differences(P<0.05).Conclusion IMB model-based health education can remarkably improve the self-management ability of patients with chronic hepatitis B.

关 键 词：IMB模型 健康教育 慢性乙型肝炎 自我管理 

分 类 号：R473.5[医药卫生—护理学]