Effect of information-motivation-behavioral skills model based perioperative nursing on pain in patients with gallstones  

作　　者：Li Ma Ying Yu Bin-Juan Zhao Yan-Nan Yu Yu Li 

机构地区：[1]Department of Nursing,Xi’an International Medical Center Hospital,Xi’an 710100,Shaanxi Province,China [2]Department of Hepatobiliary,Pancreatic and Spleen Surgery,Xi’an International Medical Center Hospital,Xi’an 710100,Shaanxi Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第7期2232-2241,共10页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND The incidence of cholecystolithiasis is on the rise.Use of information,motivation,and behavioral skills can play a positive role in promoting changes in individual health behaviors.However,reports on the effects of information-motivationbehavioral(IMB)skills model based high-quality nursing as a perioperative nursing intervention for patients with gallstones are nonexistent.AIM To explore the application of IMB skills model based high-quality nursing in patients with gallstones.METHODS Two hundred and sixteen patients with cholecystolithiasis treated at our hospital from January 2022 to January 2023 were enrolled and divided into a control,highquality,and combined nursing groups,with 72 patients in each group.The control,high-quality,and combination groups received conventional,high-quality,and IMB skills model based perioperative nursing services,respectively.Differences in clinical indicators,stress levels,degree of pain,emotional state,and quality of life were observed,and complications and nursing satisfaction among the three groups were evaluated.RESULTS After nursing,the time to recovery of gastrointestinal function in the high-quality and combined nursing groups was significantly shorter than that of the control group,with the recovery of gastrointestinal function being the fastest in the combined nursing group(P<0.05).After nursing intervention,cortisol and norepinephrine levels in the high-quality and combined nursing groups were closer to normal than those of the control group 24 h after surgery,with the combined nursing group having the closest to normal levels(P<0.05).After 3 and 7 d of intervention,the patients’pain significantly improved,which was more prominent in the highquality and combination groups.Meanwhile,the pain score in the combination group was significantly lower than those of the control and high-quality nursing groups(P<0.05).After nursing intervention,the emotional states of all patients improved,and the scores of patients in the combination group were significantly lowe

关 键 词：Biliary calculi Information-motivation-behavioral skills model High quality care Perioperative period PAIN Application 

分 类 号：R657.4[医药卫生—外科学] R473.5[医药卫生—临床医学]