基于IMB模型的干预模式在胃癌术后化疗患者护理中的应用  

Application of intervention mode based on IMB model in nursing of patients with postoperative chemotherapy for gastric cancer

作　　者：邹朦朦 许蔚[1] ZOU Mengmeng;XU Wei(Department of General Surgery,Nanjing First Hospital,Nanjing Medical University,Nanjing First Hospital,Jiangsu,,Province,Nanjing,210006,China)

机构地区：[1]南京医科大学附属南京医院南京市第一医院普外科,江苏南京210006

出　　处：《中国医药导报》2021年第33期173-176,188,共5页China Medical Herald

摘　　要：目的分析基于信息动机行为技巧(IMB)模型的干预模式在胃癌术后化疗患者护理中的应用效果。方法前瞻性选择2020年8月至2021年1月南京市第一医院(以下简称“我院”)普外科60例胃癌术后化疗患者作为研究对象,采用随机数字表法将其分为观察组和对照组,每组各30例。观察组实施IMB模型干预联合常规护理,对照组仅实施常规护理,护理前、护理2个月时,分别评估两组自我护理能力[通过自我护理能力调查问卷(ESCA)评估]、自我效能感[通过一般自我效能量表(GSES)评估]并比较,统计并比较护理2个月时两组护理满意度(通过我院自制护理满意度调查表评估)。结果护理2个月时,两组ESCA各维度评分、GSES评分均升高,且观察组高于对照组(P<0.05);两组护理总满意度比较,差异无统计学意义(P>0.05)。结论基于IMB模型的干预模式应用于胃癌术后化疗患者护理中,可以提升患者的自我护理能力与自我效能感,改善护理满意度。Objective To analyze the application effect of the intervention model based on information motivation behavioral skills model(IMB)in nursing of patients with postoperative chemotherapy for gastric cancer.Methods A total of 60 patients with postoperative chemotherapy for gastric cancer in the Department of General Surgery,Nanjing First Hospital(“our hospital”for short)from August 2020 to January 2021 were prospectively selected as subjects.They were divided into observation group and control group by random number table method,with 30 cases in each group.The observation group was given IMB model intervention combined with routine nursing,while the control group was given routine nursing.Before nursing and two months after nursing,self-care ability(assessed by the exercise of self care ability[ESCA]and self-efficacy assessed by general self-efficacy scale[GSES])of the two groups were evaluated and compared.The nursing satisfaction of the two groups at two months was statistically compared(evaluated by the self-made nursing satisfaction questionnaire of our hospital).Results After two months of nursing,the scores of ESCA dimensions and GSES in both groups increased,and the observation group was higher than those in the control group(P<0.05).There was no significant difference in total nursing satisfaction between the two groups(P>0.05).Conclusion The application of intervention mode based on IMB model in nursing of patients with postoperative chemotherapy for gastric cancer can improve the self-care ability and self-efficacy sense of patients,and improve nursing satisfaction.

关 键 词：胃癌 化疗 信息动机行为技巧 自我护理能力 自我效能感 肛门排气时间 排便时间 下床活动时间 

分 类 号：R47[医药卫生—护理学]