信息-动机-行为护理模式在不稳定型心绞痛患者介入术后护理中的应用  

Application of information-motivation-behavior nursing in the post-intervention of patients with unstable angina

作　　者：黄梦婉 Huang Mengwan(Department of Internal Medicine,The First Dongguan Affiliated Hospital of Guangdong Medical University,Dongguan Guangdong 523000,China)

机构地区：[1]广东医科大学附属东莞第一医院内科,广东东莞523000

出　　处：《保健医学研究与实践》2022年第7期78-81,共4页Health Medicine Research and Practice

摘　　要：目的探讨信息-动机-行为(IMB)护理模式在不稳定型心绞痛(UA)患者介入术后护理中的应用效果。方法选取辽阳市某医院2018年6月—2020年6月收治的83例UA患者为研究对象,采用随机数字表法分为对照组(n=40)和观察组(n=43)。对照组患者接受常规护理干预,观察组患者接受IMB干预,2组患者均持续干预3个月。比较2组患者护理效果、护理满意度,比较2组患者护理期间心绞痛发作次数、心绞痛持续时间和硝酸甘油用量,比较2组患者干预前后自我护理效能。结果观察组患者护理有效率为97.67%,高于对照组的77.50%,差异有统计学意义(P<0.05)。观察组患者临床护理满意度为93.02%,高于对照组的72.50%,差异有统计学意义(P<0.05)。观察组患者心绞痛发作次数少于对照组,心绞痛持续时间短于对照组,硝酸甘油用量少于对照组,差异均有统计学意义(P<0.05)。护理后,2组患者健康责任、心理安适、营养和运动评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论IMB护理模式在UA患者介入手术治疗后护理效果确切,能有效缓解患者临床症状,减少硝酸甘油使用量,提升护理满意度及患者自我护理效能,值得在临床上推广使用。Objective To explore the effect of information-motivation-behavior(IMB)nursing in the post-intervention of patients with unstable angina(UA).Methods A total of 83 patients with UA admitted to a hospital in Liaoyang from June 2018 to June 2020 were selected as subjects,who were assigned to a control group(n=40)and an observation group(n=43)using the random number table method.Patients in the control group received routine nursing intervention and patients in the observation group IMB intervention,and both groups received continuous intervention for 3 months.The nursing effect and nursing satisfaction of the patients in the two groups were compared,the number of angina attacks,duration and nitroglycerin dosage of the patients in the two groups were compared,and the self-nursing efficacy of the patients in the two groups before and after the intervention was compared.Results The nursing efficiency of patients in the observation group was 97.67%,which was higher than that of the control group(77.50%),the difference was statistically significant(P<0.05).The clinical nursing satisfaction rate of patients in the observation group was 93.02%,which was higher than that of the control group(72.50%),and the difference was statistically significant(P<0.05).The number of angina attacks in the observation group was lower than that in the control group,the duration of angina in the observation group was shorter than that in the control group,and the dosage of nitroglycerin in the observation group was less than that in the control group,and the differences were statistically significant(P<0.05).The health responsibility,psychological well-being,nutrition and exercise scores of patients in the 2 groups after nursing were higher than those before nursing,and the observation group was higher than the control group,with significant difference(P<0.05).Conclusion The IMB nursing model is effective in the post-intervention patients with UA,which can effectively relieve patients’clinical symptoms,reduce the use of nitroglycerin,and i

关 键 词：不稳定型心绞痛 介入手术 信息-动机-行为护理模式 效果 

分 类 号：R473.5[医药卫生—护理学]