基于IMB模型的健康教育在腹部带蒂皮瓣修复术患者中的应用  

Application of health education based on the IMB model in patients undergoing abdominal pedicled flap repair

作　　者：班荣曼 吴美芳 韦琳 陈婉姑 戴霞[1] BAN Rongman;WU Meifang;WEI Lin;CHEN Wangu;DAI Xia(The First Affiliated Hospital of Guangxi Medical University,Nanning 530000,China;Liuzhou Worker's Hospital,Liuzhou 545000,China;Nanning Maternal and Child Health Hospital,Nanning 530000,China;The 923 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Nanning 530000,China)

机构地区：[1]广西医科大学第一附属医院,广西壮族自治区南宁市530000 [2]柳州市工人医院,广西壮族自治区柳州市545000 [3]南宁市妇幼保健院,广西壮族自治区南宁市530000 [4]中国人民解放军联勤保障部队第九二三医院,广西壮族自治区南宁市530000

出　　处：《护理实践与研究》2024年第7期994-1000,共7页Nursing Practice and Research

基　　金：广西壮族自治区卫生健康委员会科研课题(编号:Z20210607)。

摘　　要：目的探讨基于IMB模型的健康教育在腹部带蒂皮瓣修复术患者中的应用效果,旨在为该类患者临床护理提供指导。方法选取2022年2月—2023年2月柳州市工人医院行腹部带蒂皮瓣修复术患者90例为研究对象,按照两组患者基本资料具有可比性的原则分为观察组和对照组,每组45例。对照组行常规护理,观察组在对照组基础上成立干预小组,并构建基于IMB模型的健康教育方案,该方案从信息干预、动机干预、行为干预3个方面对腹部带蒂皮瓣修复术患者实施干预,干预时间为3个月,并在两组入组时、干预结束时应用自我护理能力量表(ESCA)、腹部带蒂皮瓣修复术功能锻炼依从性调查问卷、Constant-Murley肩关节评分量表、Mayo肘关节功能评分量表、视觉模拟评分法(VAS)对自我护理能力、功能锻炼依从及患者预后进行评价。结果干预前两组患者ESCA评分、功能锻炼依从性评分、Constant-Murley肩关节评分、Mayo肘关节功能评分、VAS评分比较差异无统计学意义(P>0.05),干预后观察组自我护理能力评分、功能锻炼依从性评分、Constant-Murley肩关节评分、Mayo肘关节功能评分均高于对照组,差异有统计学意义(P<0.05),而VAS评分低于对照组,差异有统计学意义(P<0.05)。结论IMB模型可为腹部带蒂皮瓣修复术患者提供丰富的健康教育内容,包括术前术后的注意事项、切口护理、药物使用等方面知识,从而更好地让患者了解术后护理的重要性和具体步骤,提升患者自我护理能力,同时由专业的康复师或医生指导进行功能锻炼,学习正确的姿势和运动技巧,从而提高患者功能锻炼依从性,促进患者预后。Objective To explore the application effects of health education based on the IMB model in patients undergoing abdominal pedicled flap repair,aiming to provide guidance for clinical care of such patients.Methods From February 2022 to February 2023,a total of 90 patients undergoing abdominal pedicled flap repair at Liuzhou Worker's Hospital were selected as the study subjects.Following the principle of comparability in basic data between the two groups of patients,they were divided into an observation group and a control group,with 45 cases in each group.The control group implemented routine nursing care,while the observation group,in addition to routine care,set up an intervention team and developed a health education program based on the IMB model.This program intervened in patients undergoing abdominal pedicled flap repair from three aspects:information intervention,motivation intervention,and behavioral intervention.The intervention lasted for 3 months.At the time of enrollment and at the end of the intervention,Exercise of Self-care Agency Scale(ESCA),Abdominal Pedicled Flap Repair Functional Exercise Compliance Questionnaire,Constant-Murley Shoulder Joint Score Scale,Mayo Elbow Joint Function Score Scale and Visual Analogue Scale(VAS)were used to assess self-care ability,functional exercise compliance,and patient prognosis.Results Before intervention,there was no statistically significant difference in ESCA scores,functional exercise compliance scores,Constant-Murley shoulder joint scores,Mayo elbow joint function scores and VAS scores between the two groups(P>0.05).After intervention,the self-care ability score,functional exercise compliance score,Constant-Murley shoulder joint score,and Mayo elbow joint function score in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05),but the VAS score was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The IMB model can provide comprehensive health

关 键 词：IMB模型 健康教育 腹部带蒂皮瓣修复术 预后 肩关节功能 功能锻炼 

分 类 号：R473.75[医药卫生—护理学]