信息-动机-行为技巧模型为理论的干预模式在膀胱癌术后膀胱灌注化疗患者中的应用  

Application of the Nursing Intervention Based on Information-Motivation-Behavioral Skills Model in Patients with Postoperative Bladder Perfusion Chemotherapy

作　　者：樊荣[1] 蒋玉梅[1] 白晓静[1] 高慧敏[1] 张静[1] FAN Rong;JIANG Yumei;BAI Xiaojing;GAO Huimin;ZHANG Jing(Department of Urology,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an,Shaanxi,710061,China)

机构地区：[1]西安交通大学医学院第一附属医院泌尿外科,陕西西安710061

出　　处：《肿瘤药学》2021年第1期121-125,共5页Anti-Tumor Pharmacy

基　　金：国家自然科学基金项目(81773206)。

摘　　要：目的探讨以信息-动机-行为技巧(IMB)模型为理论的干预模式在膀胱癌术后膀胱灌注化疗中的应用价值。方法选取2017年2月—2018年3月我院收治的膀胱癌患者78例,根据入院先后顺序分为对照组和观察组,各39例。两组患者入院后均行经尿道膀胱肿瘤电切术或膀胱部分切除术治疗,术后给予吉西他滨膀胱灌注化疗,其中,对照组给予常规护理干预,观察组在此基础上采用以IMB模型为理论的护理干预。对比两组患者自我效能感(GSES)评分、遵医行为、膀胱灌注化疗后并发症发生率、术后1年复发率。结果干预后,两组患者GSES评分均显著高于干预前(P<0.05),且观察组显著高于对照组(P<0.05);干预后,观察组健康知识掌握情况、配合技巧、健康行为习惯、定期复查各项得分均显著高于对照组(P<0.05);观察组并发症发生率显著低于对照组(P<0.05);术后1年,观察组无复发病例,对照组复发率为7.69%(3/39),但两组差异无统计学意义(P>0.05)。结论以IMB模型为理论的护理干预可有效提高膀胱癌术后膀胱灌注化疗患者的自我效能感及遵医行为,降低相关并发症的发生风险。Objective To explore the application value of the nursing intervention mode based on information-motivation-behavioral skills(IMB)model in patients with bladder perfusion chemotherapy after bladder cancer surgery.Methods A total of 78 patients with bladder cancer admitted in our hospital between February 2017 and March 2018 were selected and divided into two groups according to the order of admission,39 cases in each.All patients had transurethral resection of bladder tumor or partial cystectomy,and then received gemcitabine intravesical chemotherapy.Patients in control group were given routine nursing intervention,and those in observation group were given nursing intervention based on the theory of IMB model.The self-efficacy(GSES scores),compliance behavior,incidence of complications after intravesical chemotherapy,and 1-year recurrence rate after operation were compared between the two groups.Results After intervention,the GSES scores of the two groups were higher than before intervention(P<0.05),and the GSES score of the observation group was significantly higher than that of the control group(P<0.05).The observation group also had higher scores in mastery of health knowledge,coordination skills,healthy behavior habits,and regular review than the control group after the intervention(P<0.05).The incidence of complications was significantly lower in observation group than in control group(P<0.05).One year after operation,there was no recurrence in observation group.The recurrence rate in the control group was 7.69%(3/39).There was no statistical difference between the two groups(P>0.05).Conclusion The nursing intervention based on IMB model could effectively improve the self-efficacy and compliance behavior of patients with bladder perfusion chemotherapy after bladder cancer surgery.It also could reduce the risk of related complications.

关 键 词：膀胱癌 膀胱灌注化疗 信息-动机-行为技巧模型 护理干预 遵医行为 

分 类 号：R737.14[医药卫生—肿瘤]