正念疗法结合IMB技巧模型在脑血管意外介入术患者中的应用效果  

Application of mindfulness therapy combined with IMB skill model in cerebrovascular accident interventional therapy patients

作　　者：王慧[1] 刘玉娥[1] 张婧娴[1] 韩斌[1] WANG Hui;LIU Yu’e;ZHANG Jingxian;HAN Bin(Shanxi People's Hospital,Taiyuan,030012,China)

机构地区：[1]山西省人民医院,山西省太原市030012

出　　处：《护理实践与研究》2022年第21期3177-3181,共5页Nursing Practice and Research

基　　金：山西省面上青年基金项目(编号:201701D221172)。

摘　　要：目的探讨正念疗法+IMB(信息-动机-行为)技巧模型的护理干预对脑血管意外介入治疗术后患者负性情绪、自我效能及肢体功能康复的影响。方法选择2018年7月—2020年4月医院收入的脑血管意外介入治疗患者90例,依据组间基本资料可比原则分成对照组和观察组各45例。对照组实施常规护理,观察组在对照组基础上采用正念疗法+IMB技巧模型护理干预。两组均持续干预5周,分别在干预前、干预后9周进行抑郁自评量表(SDS)、焦虑自评量表(SAS)、自我效能、肢体运动功能(FMA)、日常生活能力(ADL)评分调查,在干预结束后评价两组的依从性,比较两组干预结果。结果干预前,两组患者的SAS、SDS评分、自我效能评分、FMA、ADL评分比较,差异均无统计学意义(P>0.05)。干预后9周,上述各项指标两组均有改善,但观察组改善程度大于对照组,组间比较观察组SAS、SDS评分低于对照组,自我效能评分和FMA、ADL评分均高于对照组,差异有统计学意义(P<0.05)。干预后9周,观察组评分高于对照组,观察组依从率高于对照组,差异有统计学意义(P<0.05)。结论正念疗法+IMB技巧模型运用于脑血管意外介入治疗术后效果突出,能够快速稳定患者情绪,提升自我效能水平,促进肢体功能康复,提升生活质量及依从性。Objective To explore the ef fects of mindfulness therapy+IMB(Information-Motivation-Behavior)skill model nursing intervention on negative emotions,self-efficacy and limb function rehabilitation of patients after cerebrovascular accident interventional therapy.Methods From July 2018 to April 2020,90 patients with cerebrovascular accident receiving interventional therapy in the hospital were selected and divided into the control group and the observation group according to the principle of comparison of basic data between groups,with 45 cases in each group.The control group received routine nursing,the observation group received mindfulness therapy+IMB skill model nursing intervention based on the control group.The Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),self-efficacy,Fual-Meyer Assessment(FMA)and Activity of Daily Living(ADL)scores were investigated before and 9 weeks after the intervention.The compliance of the two groups was evaluated after the intervention,and the intervention results were compared between the two groups.Results Before intervention,there were no significant differences in SAS,SDS,self-efficacy,FMA and ADL scores between the two groups(P>0.05).9 weeks after intervention,the above indexes were improved both in two groups,but the improvement degree in the observation group was greater than the control group.The scores of SAS and SDS in the observation group were lower than the control group,and the scores of self-efficacy,FMA and ADL in the observation group were higher than the control group,the differences were statistically significant(P<0.05).9 weeks after intervention,the score of the observation group was higher than the control group,and the compliance rate of the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion The application of mindfulness therapy+IMB skill model in cerebrovascular accident interventional therapy had an outstanding ef fect,which could quickly stabilize patients’emotions,improv

关 键 词：负性情绪 正念疗法 脑血管意外 信息-动机-行为技巧 介入治疗 自我效能 

分 类 号：R473.5[医药卫生—护理学]