信息—动机—行为护理模式对胆囊切除术患者心理状态、手术认知度和健康行为的影响  

Impacts of information-motivation-behavioral nursing model on psychological status,surgery awareness and health behavior of patients undergoing cholecystectomy

作　　者：唐晓梅 韩媛媛[2] 张秀华[3] TANG Xiao-mei;HAN Yuan-yuan;ZHANG Xiu-hua(Daytime Operating Room,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830000,China;不详)

机构地区：[1]新疆医科大学第一附属医院日间手术室,新疆乌鲁木齐830000 [2]新疆医科大学第一附属医院肾脏病中心,新疆乌鲁木齐830000 [3]新疆医科大学第一附属医院中心手术室,新疆乌鲁木齐830000

出　　处：《中国临床研究》2022年第10期1462-1466,共5页Chinese Journal of Clinical Research

基　　金：新疆医科大学人文社会科学基金项目(2015XYFG30)。

摘　　要：目的 探讨对胆囊切除术患者实施信息—动机—行为护理模式对其心理状态、手术认知度和健康行为的影响。方法 选取2019年7月至2021年6月新疆医科大学第一附属医院收治的择期行腹腔镜胆囊切除术的患者86例为研究对象,采用随机数字表法将患者分为对照组和观察组,每组43例。对照组实施常规护理,观察组实施信息—动机—行为护理模式。比较两组护理干预前后的心理状态、手术认知度和健康行为。结果 两组术前1 d及出院后1个月焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较入院时明显下降(P<0.05),且观察组下降更显著(P<0.01)。两组出院后1个月SAS、SDS评分较术前1 d均明显下降(P<0.05),且观察组下降更显著(P<0.01)。出院时,两组手术认知度评分均明显升高,且观察组高于对照组(P<0.01)。出院后1个月,两组中文版健康行为能力自评量表(SRAHP)中营养、心理安适、运动、健康责任评分及总分均明显升高(P<0.05),且观察组高于对照组(P<0.01)。结论 对胆囊切除患者采取信息—动机—行为护理模式能减轻患者的负面心理,提高其对手术的认知度,并提高其健康行为。Objective To explore the effects of information-motivation-behavior(IMB) nursing model on psychological status,surgery awareness and health behavior of patients undergoing cholecystectomy.Methods A total of 86 patients who underwent laparoscopic cholecystectomy in the First Affiliated Hospital of Xinjiang Medical University from July 2019 to June 2021 were selected as subjects and randomly divided into control group and observation group(n=43,each).The routine nursing was performed in control group,and IMB nursing model was conducted in observation group.Before and after nursing intervention,the mental state,surgical cognition and health behavior were compared between two groups.Results One day before operation and one month after discharge,the scores of Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS) were significantly lower than those at admission in two groups(P<0.05),and decreased significantly in observation group compared with those in control group(P<0.01).At 1 month after discharge,the SAS and SDS scores were significantly lower than those at 1 day before operation in two groups(P<0.05),and were statistically lower in observation group than those in control group(P<0.01).At discharge,the surgical awareness scores were significantly higher in both groups and were higher in observation group than that in control group(P<0.01).One month after discharge,the scores of nutrition,psychological well-being,exercise,health responsibility and total scores in the Chinese version of SRAHP(Self-Rating Health Behavior Ability Scale) were significantly increased in two groups(P<0.05),and were statistically higher in observation group than those in control group(P<0.01).Conclusion The IMB nursing model can reduce the negative psychology of patients with cholecystectomy and improve their awareness of surgery and health behavior.

关 键 词：信息—动机—行为 胆囊切除术 心理状态 手术认知度 健康行为 

分 类 号：R473.6[医药卫生—护理学]