信息-动机-行为技巧模式下集束化干预方案在脊柱骨折合并脊髓损伤患者中的应用效果  

Application effect of information-motivation-behaviour skills model of bundled intervention programme in patients with spinal fracture combined with spinal cord injury

作　　者：荣原 梁云云 项蕾蕾[1] 殷颖 RONG Yuan;LIANG Yunyun;XIANG Leilei;YIN Ying(Department of Orthopedics,Huaian First Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Huaian 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院骨科,江苏淮安223300

出　　处：《中国医药导报》2024年第17期132-135,共4页China Medical Herald

基　　金：江苏省自然科学基金面上项目(BK20181313)。

摘　　要：目的 探究信息-动机-行为技巧(IMB)模式下集束化干预方案在脊柱骨折合并脊髓损伤患者中的应用效果。方法 选取2020年5月至2023年5月江苏省淮安市第一人民医院118例脊柱骨折合并脊髓损伤患者作为研究对象,按信封抽签法分为常规组和IMB组,各59例。常规组实施常规护理干预,IMB组在常规护理的基础上实施IMB模式下集束化干预。比较两组干预前和干预1个月后的干预效果、生活质量、心理弹性、创伤后成长及并发症情况。结果 干预前,两组干预效果、生活质量、心理弹性、创伤后成长比较,差异无统计学意义(P>0.05);干预后,两组触觉评分、运动评分、椎体相对高度高于干预前,且IMB组高于常规组,差异有统计学意义(P<0.05);两组Cobb’s角均小于干预前,且IMB组小于常规组,差异有统计学意义(P<0.05);两组生活质量评分高于干预前,且IMB组高于常规组,差异有统计学意义(P<0.05);两组心理弹性量表各项评分均高于干预前,且IMB组高于常规组,差异有统计学意义(P<0.05);两组创伤后成长量表各项评分均高于干预前,且IMB组高于常规组,差异有统计学意义(P<0.05);IMB组并发症总发生率低于常规组,差异有统计学意义(P<0.05)。结论 IMB模式下集束化干预方案在脊柱骨折合并脊髓损伤患者中的应用效果较为显著。Objective To explore the application effect of information-motivation-behaviour skills model of bundled intervention programme in patients with spinal fracture combined with spinal cord injury.Methods One hundred and eighteen patients with spinal fracture combined with spinal cord injury included in the Huaian First Hospital Affiliated to Nanjing Medical University,Jiangsu Province,from May 2020 to May 2023 were selected as the study subjects,and they were randomly divided into the conventional group and the IMB group according to the envelope-drawing method,with 59 cases in each group.The conventional group implemented conventional nursing interventions,and the IMB group implementer IMB model of bundled intervention programme on the basis of conventional nursing.Intervention outcomes,quality of life,psychological resilience,post-traumatic growth and comorbidities were compared between the two groups before intervention and one month after intervention.Results Before the intervention,there were no statistically significant differences between the two groups in terms of intervention outcomes,quality of life,psychological resilience,and post-traumatic growth(P>0.05).After the intervention,the tactile scores,motor scores,and relative height of the vertebrae were higher in both groups than before intervention,and the IMB group was higher than the conventional group,the differences were statistically significant(P<0.05).Cobb’s angle was smaller than before intervention in both groups,and the IMB group was smaller than the conventional group,the differences were statistically significant(P<0.05).The quality of life scores of the two groups were higher than before intervention,and the IMB group was higher than the conventional group,the differences were statistically significant(P<0.05);the scores of the psychological resilience scale of both groups were higher than those before intervention,and the IMB group was higher than the conventional group,and the differences were statistically significant(P<0.05);the scores o

关 键 词：信息-动机-行为技巧模式 集束化护理 脊柱骨折合并脊髓损伤 干预效果 

分 类 号：R473[医药卫生—护理学]