信息-动机-行为技巧模型下四位一体干预模式对手部烧伤后肢体功能恢复及负性心理状况的影响  

Effects of Four-in-one Intervention Model under Information-motivation-behavior Skills Model on the Recovery of Limb Function and Negative Psychological Status after Hand Burn

作　　者：王永美[1] 戴小华[1] 简桂女 陈刚泉[1] WANG Yongmei;DAI Xiaohua;JIAN Guinü;CHEN Gangquan(First Affiliated Hospital of Nanchang University,Nanchang 330006,China;不详)

机构地区：[1]南昌大学第一附属医院,江西南昌330006

出　　处：《中国医学创新》2022年第17期82-87,共6页Medical Innovation of China

基　　金：江西省卫生健康委员会项目(202130247)。

摘　　要：目的:探讨手部烧伤患者应用信息-动机-行为技巧模型(IMB模型)评估的四位一体干预模式对其肢体功能恢复及负性心理状况的影响。方法:选取2020年2月-2021年2月在南昌大学第一附属医院实施治疗的手部烧伤患者96例,利用随机数字表法将其分为对照组(n=48)、试验组(n=48)。对照组实施常规护理干预,试验组在对照组基础上实施IMB模型评估的四位一体干预模式。比较两组密歇根大学手概况问卷调查表(Michigan hand outcomes questionnaire,MHQ)各维度评分、中文版正性负性情绪量表(positive and negative affect scale,PANAS)维度评分、中文版世界卫生组织生存质量量表(world health organization’s quality of life questionnaire-brief version,WHOQOL-BREF)各维度评分。结果:护理前,两组MHQ各维度评分、PANAS各维度评分及WHOQOL-BREF各维度评分比较,差异均无统计学意义(P>0.05);护理4周后,两组MHQ中外观、作业能力、功能满意度、日常生活活动、整体手功能评分均升高,试验组均高于对照组,差异均有统计学意义(P<0.05);两组疼痛评分均降低,试验组低于对照组,差异有统计学意义(P<0.05);护理4周后,两组PANAS正性情绪评分均升高,试验组高于对照组,负性情绪评分均降低,试验组低于对照组,差异均有统计学意义(P<0.05);护理4周后,两组WHOQOL-BREF量表中生理、心理、环境及社会关系评分均升高,试验组均高于对照组,差异均有统计学意义(P<0.05)。结论:在手部外伤患者中应用IMB模型评估的四位一体干预模式,可促进手部功能的快速康复,改善患者负性心理状态,提升生活能力,改善生活质量。Objective:To explore the influence of four-in-one intervention evaluated by information-motivation-behavior skill model(IMB)on the recovery of limb function and negative psychological status of patients with hand burn.Method:A total of 96 patients with hand burn who were treated in First Affiliated Hospital of Nanchang University from February 2020 to February 2021 were selected and divided into control group(n=48)and experimental group(n=48)by random number table method.The control group was given routine nursing intervention,and the experimental group was given the four-in-one intervention model based on information-motivation-behavior skill model evaluation.The dimensions of Michigan hand outcomes questionnaire(MHQ),chinese version of positive and negative affect scale(PANAS)and Chinese version of world health organization’s quality of life questionnaire-brief version(WHOQOL-BREF)were compared between the two groups.Result:Before nursing,there were no significant differences between the two groups in all dimensions of MHQ,PANAS and WHOQOL-BREF(P>0.05).After 4 weeks of nursing,the scores of appearance,working ability,functional satisfaction,activities of daily living and overall hand function in MHQ of the two groups all increased,and those of the experimental group were higher than those of the control group,with statistical significances(P<0.05).The pain scores of both groups decreased,and that of the experimental group was lower than that of the control group,with statistical significances(P<0.05).After 4 weeks of nursing care,the positive emotion scores of PANAS in both groups increased,that of the experimental group was higher than that of the control group,while the negative emotion scores in both groups decreased,that of the experimental group was lower than that of the control group,the differences were statistically significant(P<0.05).After 4 weeks of nursing care,the scores of physiology,psychology,environment and social relations in the WHOQOL-BREF scale of the two groups all increased,and those o

关 键 词：IMB 四位一体干预模式 手部烧伤 肢体功能 负性心理 

分 类 号：R473.6[医药卫生—护理学]