IMB护理模式对主动脉夹层动脉瘤手术患者负性情绪、疼痛和生活质量的影响  

Effects of IMB Nursing Model on Negative Emotions,Pain and Quality of Life in Patients Undergoing Aortic Dissection Aneurysm Surgery

作　　者：耿小想 王玉伟[1] 李慧[1] 李银玲[1] GENG Xiaoxiang;WANG Yuwei;LI Hui;LI Yinling(Department of Cardiology,Henan Provincial Chest Hospital/Chest Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院/郑州大学附属胸科医院心外科,河南郑州450000

出　　处：《河南医学研究》2024年第3期569-573,共5页Henan Medical Research

摘　　要：目的 探讨信息-动机-行为模型(IMB)护理模式对主动脉夹层动脉瘤手术患者负性情绪、疼痛和生活质量的影响。方法 选取2022年2—12月河南省胸科医院收治的60例主动脉夹层动脉瘤手术患者为研究对象,按照随机数字表法将其分为对照组(30例)和观察组(30例)。对照组进行常规护理模式,观察组进行IMB护理模式。比较两组血压水平、负面情绪、疼痛评分、生活质量。结果 护理4周观察组的血压水平较对照组更优(P<0.05)。护理4个月后,两组患者的医院焦虑抑郁量表评分均降低,且观察组较对照组更低(P<0.05)。护理4周两组数字疼痛强度量表评分均逐渐降低,且观察组疼痛缓解较对照组更优(P<0.05)。护理6周,观察组生活质量自评量表各项评分均比对照组高(P<0.05)。结论 IMB护理模式不仅可以减轻主动脉夹层动脉瘤患者焦虑,平衡血压,还可以缓解疼痛,提高生活质量,具有显著疗效,值得临床推广应用。Objective To explore the effect of information motivation behavior model(IMB)nursing model on negative emotions,pain,and quality of life in patients undergoing aortic dissecting aneurysm surgery.Methods Sixty patients with aortic dissecting aneurysm who underwent surgery in Henan Provincial Chest Hospital from February to December 2022 were selected as the study subjects.They were divided into a control group(30 cases)and an observation group(30 cases)according to a random number table method.The control group was given routine nursing mode,while the observation group was given IMB nursing mode.The blood pressure levels,negative emotions,pain scores and quality of life between the two groups were compared.Results After 4 weeks of nursing,the blood pressure level in the observation group was better than that in the control group(P<0.05).After 4 months of nursing care,the hospital anxiety and depression scale scores of both groups of patients decreased,and the observation group was lower than the control group(P<0.05).After 4 weeks of nursing care,the scores of numerical in both groups gradually decreased,and the pain relief in the observation group was better than that in the control group(P<0.05).After 6 weeks of nursing,the self rating scale for quality of life scores in the observation group were higher than those in the control group(P<0.05).Conclusion IMB nursing mode can not only alleviate anxiety and balance blood pressure in aortic dissecting aneurysm patients,but also alleviate pain and improve quality of life.It has significant curative effects and is worthy of clinical promotion and application.

关 键 词：信息-动机-行为模型护理模式 主动脉夹层动脉瘤手术 负性情绪 疼痛 生活质量自评量表 

分 类 号：R543.1[医药卫生—心血管疾病]