基于IMB模型的绘画训练及护理对乳腺癌根治术后患者恢复的影响  

Effect of painting training and nursing based on information-motivation-behavior skills model on recovery of patients with breast cancer after radical mastectomy

作　　者：李春静[1] 刘雪珍 李轶江 陈囧亮 李莉[1] 张明月 李洪娟 赖丽思 郑维[1] LI Chun-jing;LIU Xue-zhen;LI Yi-jiang;CHEN Jiong-liang;LI Li;ZHANG Ming-yue;LI Hong-juan;LAI Li-si;ZHENG Wei(Department of Thyroid and Breast Surgery,Shenzhen Third People's Hospital(the Second Affiliated Hospital of Southern University of Science and Technology),Shenzhen 518112,Guangdong,CHINA)

机构地区：[1]深圳市第三人民医院(南方科技大学附属第二医院)甲乳外科,广东深圳518112

出　　处：《海南医学》2022年第17期2309-2312,共4页Hainan Medical Journal

摘　　要：目的 探究基于信息-动机-行为技巧(IMB)模型的绘画训练及护理对乳腺癌根治术后患者恢复的影响。方法 前瞻性选取深圳市第三人民医院(南方科技大学附属第二医院)甲乳外科2021年1~6月期间收治的50例乳腺癌患者作为研究对象,按随机数表法将患者分为对照组和观察组各25例。对照组患者采用常规护理干预,观察组患者在此基础上接受基于IBM模型的绘画训练,两组均持续护理干预15 d。术前1 d及术后护理15 d,比较两组患者的肩关节活动度、臂围以及心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)];术后护理15 d,比较两组患者的淋巴水肿状况及护理满意度。结果 术前1 d,两组患者的肩关节活动度比较差异无统计学意义(P>0.05);术后护理第15天,观察组患者的前屈、后伸、外展、内收活动度分别为(80.33±13.05)°、(39.25±3.87)°、(70.24±12.23)°、(36.11±3.17)°,明显高于对照组的(74.24±15.11)°、(37.67±4.18)°、(65.68±12.40)°、(34.21±4.19)°,差异均有统计学意义(P<0.05);术后护理15 d,观察组患者的淋巴水肿发生率为20.00%,明显低于对照组的36.00%,差异具有统计学意义(P<0.05);术后15 d,观察组患者的SAS、SDS评分分别为(49.33±6.05)分、(48.34±4.07)分,明显低于对照组的(60.24±5.11)分、(59.17±5.21)分,差异均具有统计学意义(P<0.05);术后护理15 d后,观察组患者的护理满意度为96.00%,明显高于对照组的78.00%,差异具有统计学意义(P<0.05)。结论 基于IMB模型的绘画训练及护理可以有效改善患者乳腺癌根治术后肩关节活动度,同时缓解患者术后的焦虑抑郁情绪。Objective To explore the effect of painting training and nursing based on information motivation behavior skills(IMB) model on the recovery of patients with breast cancer after radical mastectomy. Methods Fifty breast cancer patients admitted to the Department of Thyroid and Breast Surgery in Shenzhen Third People’s Hospital(the Second Affiliated Hospital of Southern University of Science and Technology) from January to June 2021 were prospectively selected as the research objects. According to the random number table method, they were divided into an observation group and a control group, with 25 patients in each group. The patients in the control group received routine nursing intervention, and the patients in the observation group received painting training based on IBM model plus routine nursing intervention. Both groups received continuous nursing intervention for 15 days. One day before operation and 15 days after operation, the shoulder range of motion, arm circumference, and psychological status [Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS)] of the two groups were compared. After 15 days of postoperative nursing, the lymphedema status and nursing satisfaction of the two groups were compared. Results One day before operation, there was no significant difference in shoulder joint range of motion between the two groups(P>0.05).On day 15 after operation, the activities of flexion, extension, abduction, and adduction in the observation group were(80.33±13.05)°,(39.25±3.87)°,(70.24±12.23)°, and(36.11±3.17)°, which were significantly higher than(74.24±15.11)°,(37.67±4.18)°,(65.68±12.40)°, and(34.21±4.19)° in the control group(P<0.05). After 15 days of postoperative nursing, the incidence of lymphedema in the observation group was 20.00%,which was significantly lower than 36.00% in the control group(P<0.05). On day 15 after operation, the SAS and SDS scores of the patients in the observation group were(49.33±6.05) points and(48.34±4.07) points, which were significantly

关 键 词：乳腺癌 改良根治手术 信息-动机-行为技巧 绘画训练 护理 

分 类 号：R473.73[医药卫生—护理学]