基于IMB模型的护理延伸服务对酒精性癫痫患者癫痫发作率及服药依从性的影响  

Effects of extended nursing service based on IMB model on seizure rate and medication compliance in patients with alcoholic epilepsy

作　　者：赵晓伟[1] 寇理江 职晓燕[1] ZHAO Xiaowei;KOU Lijiang;ZHI Xiaoyan(Psychiatric Department,the Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,China)

机构地区：[1]新乡医学院第二附属医院精神科,河南新乡453002

出　　处：《临床医学研究与实践》2024年第25期195-198,共4页Clinical Research and Practice

摘　　要：目的探究基于信息-动机-行为技巧(IMB)模型的护理延伸服务对酒精性癫痫患者癫痫发作率及服药依从性的影响。方法选取2020年1月至2022年1月于我院就诊的80例酒精性癫痫男性患者为研究对象,采用随机数字表法将其分为对照组与研究组,各40例。两组均采用抗癫痫药物治疗,在此基础上对照组采用常规护理干预,研究组在对照组的基础上给予基于IMB模型的护理延伸服务。比较两组的干预效果。结果出院后2个月,研究组的癫痫持续发作时长短于对照组,癫痫发作次数少于对照组,差异具有统计意义(P<0.05)。出院后2个月,研究组的Morisky服药依从性量表(MMAS)、癫痫患者生存质量量表-31(QOLIE-31)评分高于对照组,差异具有统计学意义(P<0.05)。研究组的不良反应总发生率为5.00%,低于对照组的20.00%,差异具有统计学意义(P<0.05)。结论基于IMB模型的护理延伸服务可有效减少癫痫持续发作时长与发作次数,增强患者的服药依从性,减少不良反应发生率,提高患者的生活质量。Objective To explore the effects of extended nursing service based on information-motivation-behavioral skills(IMB)model on seizure rate and medication compliance in patients with alcoholic epilepsy.Methods A total of 80 male patients with alcoholic epilepsy who were treated in our hospital from January 2020 to January 2022 were selected as the research objects.The patients were divided into control group and study group by random number table method,with 40 cases in each group.Both groups were treated with antiepileptic drugs.On this basis,the control group was given routine nursing intervention,and the study group was given extended nursing service based on IMB model on the basis of the control group.The intervention effects of the two groups were compared.Results Two months after discharge,the duration of epileptic seizures in the study group was shorter than that in the control group,and the number of epileptic seizures was less than that in the control group,the differences were statistically significant(P<0.05).Two months after discharge,the Morisky Medication Adherence Scale(MMAS)and the Quality of Life In Epilepsy-31(QOLIE-31)scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the study group was 5.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The extended nursing service based on IMB model can effectively reduce the duration and number of epileptic seizures,enhance patients'medication compliance,reduce the incidence of adverse reactions,and improve patients'quality of life.

关 键 词：IMB模型 护理延伸服务 酒精性癫痫 癫痫发作率 服药依从性 

分 类 号：R473[医药卫生—护理学]