基于IMB模型的延续性护理对冠心病PCI术后患者的康复效果观察  

Effect of Continuous Nursing Based on IMB Model on Patients with Coronary Heart Disease After PCI

作　　者：彭君[1] 吴华丽[1] Peng Jun;Wu Huali(Department of Cardiovascular Medicine,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan,Hubei,430064,China)

机构地区：[1]武汉科技大学附属天佑医院心血管内科,湖北武汉430064

出　　处：《黑龙江医学》2024年第24期3042-3044,共3页Heilongjiang Medical Journal

摘　　要：目的:观察基于信息-动机-行为技巧(IMB)模型的延续性护理对冠心病(CHD)经皮冠状动脉介入术(PCI)术后患者的康复效果。方法:选取2019年1月—2023年1月武汉科技大学附属天佑医院行PCI治疗的84例CHD患者作为研究对象,根据入院顺序分为对照组(n=42)和观察组(n=42)。对照组患者出院后给予常规延续性护理干预,观察组患者出院后给予基于IMB模型的延续性护理干预,干预时间为6个月。分别采用修订版健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)、CHD自我管理行为量表、西雅图心绞痛问卷(SAQ)评估两组患者护理干预前后健康促进生活方式、自我管理行为、生存质量的变化。结果:干预后,两组患者各项评分比较,观察组患者健康促进生活方式各项评分均高于对照组,差异均有统计学意义(t=6.732、4.536、6.125、5.032、3.942、6.592,P<0.05);观察组患者自我管理行为各项评分均高于对照组,差异均有统计学意义(t=7.153、7.721、7.362、6.305、5.269、7.029、6.704,P<0.05);观察组患者生存质量各项评分均高于对照组,差异均有统计学意义(t=5.371、6.172、6.353、5.923、6.441,P<0.05)。结论:基于IMB模型的延续性护理可明显改善CHD患者PCI术后的健康促进生活方式、自我管理行为、生存质量。Objective:To observe the effect of continuous nursing based on IMB model on the rehabilitation of patients with coronary heart disease(CHD)after PCI.Methods:84 CHD patients treated with PCI were divided into the control group(n=42)and observation group(n=42)according to the sequence of admission.The control group were given routine nursing intervention after discharge,while the observation group were given IMB model-based nursing intervention after discharge.The intervention time of two groups were all 6 months.The changes of health-promoting life style,self-management behavior and life quality of two groups before and after nursing intervention were evaluated by HPLP-Ⅱ,CHD self-management behavior scale and SAQ.Results:After the intervention,the scores of the two groups of patients were compared,and the scores of the health promotion lifestyle in the observation group were higher than those in the control group,with statistically significant difference(t=6.732,4.536,6.125,5.032,3.942,6.592;P<0.05).The scores of self-management behavior in the observation group were higher than those in the control group,with statistically significant differene(t=7.153,7.721,7.362,6.305,5.269,7.029,6.704;P<0.05).The scores of quality of life in observation group were higher than those in control group,and the difference was statistically significant(t=5.371,6.172,6.353,5.923,6.441;P<0.05).Conclusion:Continuous nursing based on IMB model can significantly improve the health-promoting lifestyle,self-management behavior and life quality of patients with coronary heart disease after PCI.

关 键 词：冠心病 信息-动机-行为技巧模型 延续性护理 经皮冠状动脉介入术 

分 类 号：R541.4[医药卫生—心血管疾病]