IMB技巧模型在膝周骨肉瘤患者膝关节置换术后早期康复护理中的应用  

Application of IMB technique model in early rehabilitation nursing of patients with knee osteosarcoma after knee joint replacement surgery

作　　者：于树婷 周瑾[1] YU Shu-ting;ZHOU Jin(Department of Orthopaedics,the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200233,CHINA)

机构地区：[1]上海交通大学医学院附属第六人民医院骨科,上海200233

出　　处：《海南医学》2023年第23期3469-3473,共5页Hainan Medical Journal

基　　金：上海交通大学医学院科技基金项目(编号:jyhz2026)。

摘　　要：目的探讨信息-动机-行为(IMB)技巧模型在膝周骨肉瘤患者膝关节置换术后早期康复护理中的应用效果。方法选择2020年7月至2022年7月于上海交通大学医学院附属第六人民医院接受膝关节置换术治疗的80例膝周骨肉瘤患者进行研究,采用随机数表法将患者分为观察组和对照组各40例。对照组患者术后给予常规护理,观察组患者术后给予IMB技巧模型护理。比较两组患者护理前、护理1个月和3个月时膝关节评分系统(HSS)、膝关节活动范围(ROM)、康复自我效能量表(SER)及视觉模拟疼痛(VAS)评分变化,同时比较两组患者的并发症发生率和满意率。结果护理前,两组患者的HSS评分和ROM比较差异均无统计学意义(P>0.05);护理1个月和3个月后,两组患者的HSS评分和ROM均升高,且观察组的HSS评分和ROM分别为(62.74±5.27)分、(91.28±6.28)分、(72.19±4.17)°、(118.34±12.09)°,明显高于对照组的(54.28±5.36)分、(82.19±6.81)分、(61.38±5.01)°、(106.27±9.27)°,差异均有统计学意义(P<0.05);护理前,两组患者的SER评分比较差异无统计学意义(P>0.05);护理1个月和3个月后,两组患者的任务自我效能、应对自我效能、SER总分均升高,且观察组护理1个月和3个月时的任务自我效能、应对自我效能评分及SER总分明显高于对照组,差异均有统计学意义(P<0.05);护理前,两组患者的VAS评分比较差异无统计学意义(P>0.05);护理1个月、3个月后,两组患者的VAS评分均降低,且观察组的VAS评分分别为(4.91±0.93)分、(2.78±0.41)分,明显低于对照组的(5.72±0.72)分、(3.92±0.51)分,差异均有统计学意义(P<0.05);观察组患者的并发症发生率为5.00%,明显低于对照组的22.50%,患者对护理的满意率为95.00%,明显高于对照组的75.00%,差异均有统计学意义(P<0.05)。结论IMB技巧模型应用于膝周骨肉瘤患者膝关节置换术后可有效缓解疼痛,增加膝关节活动度,促进膝关节功能�Objective To explore the application effect of the information-motivation-behavior(IMB)skill model in early rehabilitation nursing for patients with knee osteoarthritis after knee joint replacement surgery.Methods Eighty patients with knee osteosarcoma who underwent knee joint replacement surgery at the Department of Orthopedics,the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from July 2020 to July 2022 were studied.The patients were randomly divided into an observation group and a control group using a random number table method,with 40 patients in each group.The patients in the control group were given routine care after surgery,while those in the observation group were given IMB technique model care after surgery.The changes in Hospital for Special Surgery knee score(HSS),knee range of motion(ROM),self-efficacy scale for rehabilitation(SER),and Visual Analogue Scale(VAS)scores were compared between two groups before care,after 1 month and 3 months of care.The incidence of complications and satisfaction rates were also compared between the two groups.Results Before nursing,there was no statistically significant difference in HSS scores and ROM between the two groups(P>0.05);after 1 month and 3 months of nursing,the HSS scores,ROM of the two groups significantly increased,and the indexes of the observation group were(62.74±5.27)points and(91.28±6.28)points,(72.19±4.17)°and(118.34±12.09)°,which were significantly higher than(54.28±5.36)points and(82.19±6.81)points,(61.38±5.01)°and(106.27±9.27)°in the control group(P<0.05).Before nursing,there was no statistically significant difference in SER between the two groups(P>0.05);after 1 month and 3 months of nursing,the task self-efficacy,coping self-efficacy,and total SER scores of patients in both groups significantly increased,and the scores in the observation group were significantly higher than those in the control group(P<0.05).Before nursing,there was no statistically significant difference in VAS scores bet

关 键 词：膝周骨肉瘤 膝关节置换术 信息-动机-行为技巧模型 疼痛 膝关节功能 自我效能 并发症 

分 类 号：R473.6[医药卫生—护理学]