以信息-动机-行为技巧模型为基础的健康教育在早产儿主要照顾者健康教育中的应用  

Application of health education based on the information-motivation-behavioral skills model in health education of main caregivers of premature infants

作　　者：高媛媛[1] 张迪[1] 马金红[1] 孟丽颖 姚文秀[1] Gao Yuanyuan;Zhang Di;Ma Jinhong;Meng Liying;Yao Wenxiu(Department of Neonatology,First Hospital of Qinhuangdao,Hebei Province,Qinhuangdao 066000,China)

机构地区：[1]河北省秦皇岛市第一医院新生儿科,066000

出　　处：《中华现代护理杂志》2021年第30期4134-4138,共5页Chinese Journal of Modern Nursing

基　　金：秦皇岛市科学技术研究与发展计划项目(201805A164)。

摘　　要：目的探讨以信息-动机-行为技巧(IMB)模型为基础的健康教育在早产儿主要照顾者健康教育中的应用效果。方法选取2017年1月—2019年12月秦皇岛市第一医院新生儿科收治的200例早产儿及其200名主要照顾者为研究对象,采用随机数表法分为对照组和观察组,各100例早产儿及其100名照顾者。对照组行常规健康教育,观察组在对照组的基础上给予以IMB模型为基础的健康教育。比较两组早产儿的生长发育和出院后再入院情况;采用自制的早产儿照顾者照顾知识评价表、早产儿照顾者照顾能力量表以及新生儿科满意度问卷对照顾者的照顾知识、照顾能力及满意度进行评价。结果两组早产儿的生长发育达标率分别为86.00%、74.00%,出院后再次入院率分别为7.00%、17.00%,组间比较差异有统计学意义(P<0.05)。干预后,观察组照顾者照顾知识及照顾能力各指标评分、护理满意度均高于对照组,差异均有统计学意义(P<0.05)。结论将IMB模型为理论基础的健康教育应用于早产儿照顾者中,可提高早产儿生长发育达标率,降低出院后再次入院率,提高其照顾者的照顾知识与能力、满意度。Objective To explore the application effect of health education based on the informationmotivation-behavioral(IMB)skills model in the health education of main caregivers of premature infants.Methods A total of 200 premature infants and 200 primary caregivers admitted to Department of Neonatology in First Hospital of Qinhuangdao were selected as the research objects from January 2017 to December 2019.Using random number table method,they were divided into the control group and the observation group,with 100 premature infants and 100 caregivers in each group.The control group was given regular health education,while the observation group was given health education based on the IMB model skill on the basis of the control group.The growth and development of premature infants and their re-admission after discharge were compared between the two groups.The self-made Premature Infant Caregivers Care Knowledge Evaluation Form,Premature Infant Caregivers Care Ability Scale and Neonatology Satisfaction Questionnaire were used to evaluate the care knowledge,care ability and satisfaction of their caregivers.Results The growth and development compliance rates of preterm infants in the two groups were respectively 86.00%and 74.00%,and the readmission rates after discharge were respectively 7.00%and 17.00%,and there were statistically significant differences between groups (P< 0.05). After intervention, the scores of nursing knowledge, nursingability and nursing satisfaction of caregivers in the observation group were higher than those in the control group,and the differences were statistically significant (P< 0.05). Conclusions The application of IMB model-basedhealth education in caregivers of premature infants can improve the growth and development compliance rateof premature infants, reduce the re-admission rate after discharge, improve knowledge and ability of care ofcaregivers and improve satisfaction of caregivers.

关 键 词：婴儿 早产 照顾者 健康教育 延续性护理 IMB模型 

分 类 号：R473.72[医药卫生—护理学]