基于信息-动机-行为技巧模型的护理干预在肺孤立性小结节患者CT引导下定位中的应用研究  

Application of nursing intervention based on information-motivation-behavioral skill model in CT-guided localization of patients with isolated pulmonary nodules

作　　者：房颖 周存荣 陆志斌 肖志超 潘春峰 FANG Ying;ZHOU Cunrong;LU Zhibin;XIAO Zhichao;PAN Chunfeng(Department of Thoracic Surgery,the First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210000;Pukou People′s Hospital in Nanjing of Jiangsu Province,Nanjing,Jiangsu,210000)

机构地区：[1]南京医科大学第一附属医院胸外科,江苏南京210000 [2]江苏省南京市浦口人民医院,江苏南京210000

出　　处：《实用临床医药杂志》2023年第12期98-104,共7页Journal of Clinical Medicine in Practice

基　　金：国家自然科学基金青年项目(81902328);江苏省南京市浦口区科学技术发展项目(S2022-6)。

摘　　要：目的观察基于信息-动机-行为技巧(IMB)模型的护理干预在肺孤立性小结节(SPN)患者CT引导下定位中的应用效果。方法选取拟行CT引导下SPN定位术的患者60例,随机分为观察组和对照组,每组30例。观察组给予基于IMB模型的护理干预,对照组给予常规护理模式。比较2组疾病认知程度、心理状态、依从性、并发症发生率及护理满意度。结果干预后,2组患者疾病认知评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组疾病认知达标率为96.67%,高于对照组的76.67%,差异有统计学意义(P<0.05)。干预后2组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后2组的依从性高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于IMB模型的护理干预可提高CT引导下定位SPN患者的认知水平、依从性、护理满意度,缓解患者焦虑、抑郁等状态,且术后并发症发生率较低。Objective To observe the effect of nursing intervention based on information-motivation-behavioral skill(IMB)model in CT-guided localization of patients with isolated pulmonary nodules(SPN).Methods A total of 60 patients who planned to undergo CT-guided SPN localization were randomly divided into observation group and controlgroup,with 30 cases in each group.The observation group was given nursing intervention based on IMB model,and the control group was given conventional nursing mode.The cognitive degree of disease,psychological state,compliance,complication rate and nursing satisfaction of the two groups were compared.Results After intervention,the cognitive scores of disease in the two groups were significantly higher than before intervention,and the observation group was significantly higher than the control group(P<0.05);the compliance rate of disease cognition in the observation group was 96.67%,which was significantly higher than 76.67%in the control group(P<0.05).After intervention,the scores of self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)in the two groups were significantly lower than before intervention,and the observation group was significantly lower than the control group(P<0.05).The compliance of the two groups was significantly higher than before intervention,and the observation group was significantly higher than the control group(P<0.05).After intervention,the total complication rate of the observation group was significantly lower than that of the control group,and nursing satisfaction was significantly higher than that of the control group(P<0.05).Conclusion Nursing intervention based on IMB model can improve the cognitive level,compliance and nursing satisfaction of patients with SPN positioning under CT guidance,relieve anxiety,depression and other states of patients,and has a low incidence of postoperative complications.

关 键 词：肺孤立性小结节 肺穿刺 信息-动机-行为技巧模型 护理 

分 类 号：R563[医药卫生—呼吸系统] R473[医药卫生—内科学]