基于IMB模型构建的延续护理网络平台在糖尿病视网膜病变患者中的应用  

Effects of transitional care network platform based on IMB in patients with diabetes retinopathy

作　　者：李亚楠[1] 张佳佳[1] 万文萃[1] Li Yanan;Zhang Jiajia;Wan Wencui(Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院眼科,郑州450052

出　　处：《中华现代护理杂志》2023年第12期1629-1633,共5页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金(82101152)。

摘　　要：目的:探讨基于信息-动机-行为技巧(IMB)模型构建的延续护理网络平台对糖尿病视网膜病变(DR)患者自我管理行为、生活质量的影响。方法:以便利抽样法选取2019年5月—2021年6月郑州大学第一附属医院DR住院患者102例,按随机数字表法分为研究组( n=51)、对照组( n=51)。对照组予以常规护理,研究组在对照组基础上使用基于IMB模型构建的网络平台进行延续护理干预,干预前及干预6个月后对患者进行评估。统计两组患者干预前后自我管理行为、血糖水平[血红蛋白(HbA1c)、空腹血糖(FBG)、餐后2小时血糖(2 hPG)]和生活质量的变化。 结果:干预后,研究组自我管理环境、自我管理行为、自我管理认知评分高于对照组,FPG、HAb1c、2 hPG水平低于对照组,心理、躯体、社会功能及物质生活状态评分较对照组高,差异均有统计学意义( P<0.05)。 结论:应用基于IMB模型构建的网络平台开展延续护理可增强DR患者自我管理行为,改善DR患者血糖水平,提高其生活质量,具有较好的临床应用价值。Objective To explore the effect of transitional care network platform based on information-motivation-behavior skills(IMB)on self-management and quality of life of patients with diabetes retinopathy(DR).Methods Convenience sampling was used to select 102 DR inpatients from the First Affiliated Hospital of Zhengzhou University from May 2019 to June 2021.The patients were divided into research group(n=51)and control group(n=51)according to the random number table method.The control group received routine care,while the research group used the network platform based on IMB to conduct transitional care on the basis of the control group.Patients were evaluated before and six months after the intervention.The self-management,blood glucose indicators[hemoglobin(HbA1c),fasting blood glucose(FBG),2-hour postprandial blood glucose(2 hPG)],and quality of life of the two groups of patients before and after intervention were analyzed.Results After intervention,the scores of self-management environment,self-management behavior,and self-management cognition in the research group were higher than those in the control group,while the FPG,HAb1c,and 2 hPG were lower than those in the control group.The scores of psychological,physical,social function,and material life in the observation group were higher than those in the control group.The above differences were statistically significant(P<0.05).Conclusions Applying the network platform based on IMB to carry out transitional care can enhance the self-management of DR patients,improve their blood glucose indicators and quality of life,which has high clinical value.

关 键 词：糖尿病视网膜病变 信息-动机-行为技巧 网络平台 延续护理 自我管理 生活质量 

分 类 号：R473[医药卫生—护理学]