基于IMB模型的“互联网+”延续性护理在支气管哮喘患者中的应用效果  

Application effects of IMB mode based-‘Internet+’extended nursing in patients with bronchial asthma

作　　者：李莉 LI Li(Department of Respiratory Medicine of Huimin Hospital,Puyang 457000 Henan,China)

机构地区：[1]濮阳惠民医院呼吸内科,河南濮阳457000

出　　处：《中国民康医学》2025年第3期173-176,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于信息-动机-行为技巧(IMB)模型的“互联网+”延续性护理在支气管哮喘患者中的应用效果。方法:回顾性分析2021年3月至2023年3月该院收治的92例支气管哮喘患者的临床资料,按护理方案不同将其分为研究组(n=46)与对照组(n=46)。对照组行常规护理,研究组在对照组基础上行基于IMB模型的“互联网+”延续性护理。比较两组护理前后肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、呼气流量峰值(PEF)]水平、自我管理行为[成年人健康自我管理能力测评量表(AHSMSRS)]评分、疾病控制[哮喘控制测试(ACT)]评分和负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分。结果:护理后,两组FVC、FEV_(1)、PEF水平均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组健康自我管理行为、健康自我管理环境、健康自我管理认知等AHSMSRS评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组ACT评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组SDS、SAS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用基于IMB模型的“互联网+”延续性护理可提高支气管哮喘患者肺功能指标水平、自我管理行为和疾病控制评分,以及降低负性情绪评分的效果优于单纯常规护理。Objective:To observe application effects of‘Internet+’extended nursing based on information-motivation-behavioral skills(IMB)model in patients with bronchial asthma.Methods:The clinical data of 92 patients with bronchial asthma admitted to this hospital from March 2021 to March 2023 were retrospectively analyzed.According to different nursing schemes,they were divided into study group(n=46)and control group(n=46).The control group received routine nursing,while the study group received the IMB mode based-‘Internet+’extended nursing on the basis of that of the control group.The lung function indexes[forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1)),maximum expiratory flow(PEF)]levels,the self-management behavior[adult health self-management skill for reliability scale(AHSMSRS)]score,the disease control[asthma control test(ACT)]score,and the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores were compared between the two groups before and after the nursing.Results:After the nursing,the levels of FVC,FEV_(1) and PEF in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the AHSMSRS scores of health self-management behavior,health self-management environment and health self-management cognition in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the ACT scores of the two groups were higher than those before the nursing,that in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the scores of SDS and SAS in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significa

关 键 词：信息-动机-行为技巧模型 延续性护理 支气管哮喘 肺功能 自我管理行为 疾病控制 负性情绪 

分 类 号：R473.5[医药卫生—护理学]