基于IMB模型的综合护理在老年POP患者中的应用  

Application of comprehensive nursing based on information-motivation-behavioral skills model in elderly patients with pelvic organ prolapse

作　　者：高云霞[1] 汪蔚敏 谭慧[1] 吴广平[1] 刘延 杨晓丽 GAO Yun-xia;WANG Wei-min;TAN Hui;WU Guang-ping;LIU Yan;YANG Xiao-li(Department of Gynecology,Shenzhen Bao'an District People's Hospital,Shenzhen 518101,Guangdong,CHINA)

机构地区：[1]深圳市宝安区人民医院妇科,广东深圳518101

出　　处：《海南医学》2023年第15期2261-2265,共5页Hainan Medical Journal

基　　金：广东省深圳市宝安区科技计划项目(编号:2019JD078)。

摘　　要：目的研究基于信息-动机-行为技巧(IMB)模型的综合护理在老年盆腔器官脱垂(POP)患者中的应用效果,为患者的临床护理提供指导。方法选取2018年1月至2022年4月深圳市宝安区人民医院收治的60例老年POP患者进行研究,按照随机数表法分为观察组和对照组各30例。两组患者均行手术治疗,对照组给予常规手术护理,观察组给予基于IMB模型的综合护理。两组患者均进行围术期护理,出院后延续性护理1个月,观察并比较两组患者护理后的临床治疗效果,护理前及护理后排尿情况,入院时、术后及出院时状态-特质焦虑问卷(STAI)评分情况,护理前及护理后生活质量评分,护理后满意度以及并发症发生情况。结果护理后,观察组患者的治疗总有效率为93.33%,明显高于对照组的66.67%,差异有统计学意义(P<0.05);护理后,观察组患者的排尿不顺、二次导尿、尿痛以及暂时尿失禁发生率分别为10.00%、0、3.33%、3.33%,明显低于对照组的33.33%、16.67%、23.33%、20.00%,差异均有统计学意义(P<0.05);观察组患者术后及出院时的STAI评分分别为(45.14±8.04)分、(37.22±7.13)分,明显低于对照组的(51.29±9.01)分、(43.43±8.15)分,差异均有统计学意义(P<0.05);护理后,观察组患者的躯体功能、睡眠质量、活力情况及心理功能状态评分分别为(87.21±8.22)分、(96.03±3.59)分、(85.44±9.21)分、(96.19±3.11)分,明显高于对照组的(73.84±8.20)分、(81.55±9.60)分、(72.45±9.17)分、(83.14±9.31)分,差异均有统计学意义(P<0.05);护理后,观察组患者的总并发症发生率为6.67%,明显低于对照组的26.67%,差异有统计学意义(P<0.05)。结论基于IMB模型的综合护理在老年POP患者中的护理效果显著,其不仅能有效改善患者排尿状况,缓解焦虑情绪,还能显著提高患者生活质量和护理满意度,减少临床并发症发生率。Objective To study the application effect of comprehensive nursing based on information-motivation-behavioral skills(IMB)model in elderly patients with pelvic organ prolapse(POP),and provide guidance for clinical nursing.Methods A total of 60 elderly POP patients treated in Shenzhen Bao'an District People's Hospital from January 2018 to April 2022 were selected for study.They were divided into an observation group and a control group according to the random number table method,with 30 patients in each group.Both groups were treated with surgery.The patients in the control group were given routine surgical nursing,and the patients in the observation group were given comprehensive nursing based on IMB model.Both groups of patients were given perioperative care,continuous nursing care for 1 month after discharge.The clinical treatment effect after nursing,urination before and after nursing,status-trait anxiety questionnaire(STAI)score at admission,postoperation,and discharge,quality of life score before and after nursing,satisfaction and the occurrence of complications after nursing were observed and compared.Results After nursing,the total effective rate in the observation group was 93.33%,which was significantly higher than 66.67%in the control group(P<0.05).After nursing,the incidences of dysuria,secondary catheterization,dysuria and temporary urinary incontinence were 10.00%,0,3.33%,and 3.33%in the observation group,which were significantly lower than 33.33%,16.67%,23.33%,20.00%in the control group(P<0.05).The STAI scores in the observation group were(45.14±8.04)points and(37.22±7.13)points after operation and at discharge,which were significantly lower than(51.29±9.01)points and(43.43±8.15)points in the control group(P<0.05).After nursing,the scores of physical function,sleep quality,vitality,and mental function status in the observation group were(87.21±8.22)points,(96.03±3.59)points,(85.44±9.21)points,and(96.19±3.11)points,which were significantly higher than(73.84±8.20)points,(81.55±9.60)points,(72

关 键 词：盆腔器官脱垂 老年 信息-动机-行为技巧模型 护理 排尿异常 生活质量 

分 类 号：R47[医药卫生—护理学]