基于IMB技巧模型的护理干预对卒中后认知障碍患者的影响  

Effect of nursing intervention based on IMB skill model on patients with post-stroke cognitive impairment

作　　者：王丽军[1] 王萧逸[1] 杨瑞瑞 李逸 宋洋[1] 富奇志[1] 王艳艳[1] 杜敢琴[1] WANG Lijun;WANG Xiaoyi;YANG Ruirui;LI Yi;SONG Yang;FU Qizhi;WANG Yanyan;DU Ganqin(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000

出　　处：《中国实用神经疾病杂志》2024年第11期1425-1429,共5页Chinese Journal of Practical Nervous Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号:LHGJ20210581)。

摘　　要：目的探讨在卒中后认知障碍(PSCI)患者干预期间采用基于信息-动机-行为(IMB)技巧模型下的护理干预效果。方法以洛阳某三甲医院神经内科收治的PSCI患者为研究对象,2022-02—2022-06接收的80例患者为对照组,采取常规护理干预模式;以2022-07—2022-11接收的80例患者为干预组,实施基于IMB技巧模型下的护理干预模式。对比2组患者干预前后认知功能(MMSE、MoCA评分)、自理能力(BI)、焦虑和抑郁情况(HAMA、HAMD评分)。结果干预后干预组MoCA、MMSE评分均优于对照组(MMSE评分:22.18±4.25比27.12±4.72,t=5.349,P<0.05;MoCA评分:22.23±4.37比26.77±5.25,t=4.327,P<0.05),BI高于对照组(BI:56.49±5.17比64.52±6.28,t=5.892,P<0.05),HAMD、HAMA评分均低于对照组(HAMA评分:7.51±2.42比5.23±1.63,t=8.532,P<0.05;HAMD评分:5.69±1.48比3.28±1.40,t=8.925,P<0.05)。结论基于IMB技巧模型下的护理干预可有效实现对PSCI患者认知功能、日常生活能力及心理状态的提升,值得推广。Objective To investigate the effect of the intervention based on the information-motivation�behavior(IMB)mode for the patients with post-stroke cognitive impairment(PSCI).Methods PSCI patients admitted to the department of neurology of a upper first-class hospital in Luoyang were selected as the study objects,and 80 patients from February 2022 to June 2022 entered the control group,and received the usual nursing intervention mode.Eighty patients from July 2022 to November 2022 entered the intervention group,and were given the intervention based on the IMB skill mode.Cognitive function(MMSE and MoCA scores),self-care ability(Barthel index),anxiety and depression(HAMA and HAMD scores)were compared between the two groups before and after intervention.Results After intervention,the scores of MoCA and MMSE in the intervention group showed better effects than the control group(MMSE score:22.18±4.25 vs 27.12±4.72,t=5.349,P<0.05;MoCA score:22.23±4.37 vs 26.77±5.25,t=4.327,P<0.05).The score of BI index in the intervention group showed better effect than the control group(BI:56.49±5.17 vs 64.52±6.28,t=5.892,P<0.05).The results of HAMD and HAMA in the intervention group were lower than those of the control group(HAMA score:7.51±2.42 vs 5.23±1.63,t=8.532,P<0.05;HAMD score:5.69±1.48 vs 3.28±1.40,t=8.925,P<0.05).Conclusion Nursing intervention based on IMB skill model can effectively improve the cognitive function,daily living ability and psychological state of PSCI patients,and it is worth promoting.

关 键 词：卒中后认知障碍 基于信息-动机-行为模型 认知功能 自理能力 心理状态 

分 类 号：R473.74[医药卫生—护理学]