微信公众平台联合IMB模型护理对食管癌化疗间歇期患者自我效能感及应对方式的影响  

Impact of WeChat Public Platform Combined with IMB Model Nursing on Self-efficacy and Coping Strategies of Esophageal Cancer Patients During Chemotherapy Interval

作　　者：郭金丹 殷凤芳[1] GUO Jindan;YIN Fengfang(The First Affiliated Hospital of Henan University,Kaifeng,China,475000)

机构地区：[1]河南大学第一附属医院,河南开封475000

出　　处：《食管疾病》2024年第4期301-305,共5页Journal of Esophageal Diseases

基　　金：开封市科技发展计划项目(2204014)。

摘　　要：目的从患者自我效能感及应对方式角度,探讨微信公众平台联合信息—动机—行为技巧(information-motivation-behavioral skills,IBM)模型护理对食管癌化疗间歇期患者的作用机制。方法纳入河南大学第一附属医院收治的80例食管癌患者,以随机数字表法分为对照组和观察组各40例,对照组实施常规护理方案,观察组在对照组的基础上实施微信公众平台联合IBM模式护理干预,对比两组患者自我效能感、应对方式、生存质量、满意度。结果护理后,观察组自我效能感、生存质量评分以及面对评分更高、回避以及屈服评分更低,组间对比差异存在统计学意义(P<0.05);观察组患者满意度为95.00%,高于对照组的80.00%(P<0.05)。结论针对食管癌化疗间歇期患者,以微信公众平台联合IBM模型护理,能够有效改善患者自我效能感,帮助患者树立治疗信心,促使其形成积极面对治疗的心态,对提高患者生存质量、满意度具有重要作用。Objective To explore the mechanism of WeChat's joint information-motivation-behavioral skills(IMB)model nursing care for patients with oesophageal cancer in the intermittent period between chemotherapy treatments,based on the perspective of improving patients'self-efficacy and coping styles.Methods 80 oesophageal cancer patients admitted to our hospital were included,and divided into 40 cases each in the control group and the observation group randomly.The control group implemented the conventional nursing programme,and the observation group implemented the WeChat public platform combined with the IMB mode of nursing intervention on the basis of the control group,The self-efficacy,coping style,quality of survival,and degree of satisfaction of the patients of the two groups were compared.Results After nursing,the observation group showed higher self-efficacy,quality of life scores,and facing scores,loweravoidanceand surrender scores,with statistically significant differences between the groups(P<0.05);The satisfaction rate of patients in the observation group was 95.00%,higher than the 80.00%in the control group(P<0.05).Conclusion For patients in the chemotherapy interval of esophageal cancer,the combination of WeChat public platform and IMB model nursing can effectively improve patients′self-efficacy,help them establish treatment confidence,promote their positive attitude towards treatment,and play an important role in improving patients'quality of life and satisfaction.

关 键 词：食管癌 化疗间歇期 IMB模型 微信 自我效能感 应对方式 

分 类 号：R473[医药卫生—护理学]