基于信息-动机-行为模型的认知行为干预在胆囊切除患者围手术期中的应用  

Application of Cognitive Behavioral Intervention Based on Information-Motivation-Behavior Model in Perioperative Period of Patients with Cholecystectomy

作　　者：郭丽萍 GUO Liping(Department of General Surgery,the First People’s Hospital of Zhumadian,Zhumadian 464300,China)

机构地区：[1]驻马店市第一人民医院普外科,河南驻马店464300

出　　处：《河南医学研究》2025年第3期566-569,共4页Henan Medical Research

摘　　要：目的探讨基于信息-动机-行为(IMB)模型的认知行为干预在胆囊切除患者围手术期中的应用效果。方法选择驻马店市第一人民医院2021年1月至2022年9月收治的96例择期行腹腔镜下胆囊切除术治疗的胆囊结石患者,以随机数字表法分为两组,各48例。对照组接受常规干预,观察组接受基于IMB模型的认知行为干预,均持续干预至患者出院。比较两组入院时及手术前的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、干预前及干预后的手术认知度及健康行为[健康促进生活方式量表(HPLP-Ⅱ)]。结果两组患者均顺利完成研究,无脱落;术前,两组SAS、SDS评分均较入院时降低,且观察组低于对照组(P<0.05);干预后,观察组手术认知度、HPLP-Ⅱ评分高于对照组(P<0.05)。结论基于IMB模型的认知行为干预有利于缓解胆囊切除术患者术前心理状态,提高患者围手术期的手术认知度及健康行为。Objective To explore the application effect of cognitive behavioral intervention based on information-motivation-behavior(IMB)model in the perioperative period of patients undergoing cholecystectomy.Methods From January 2021 to September 2022 in the First People’s Hospital of Zhumadian,96 patients with cholecystolithiasis who were selected to undergo laparoscopic cholecystectomy were selected.They were randomly divided into two groups,48 cases in each group.The control group received routine intervention,while the observation group received cognitive behavioral intervention based on the IMB model,both of which continued until the patient was discharged.The psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]at admission and before operation,surgical awareness and health behavior[health-promoting lifestyle scale(HPLP-Ⅱ)]before and after intervention were compared between the two groups.Results Both groups of patients successfully completed the study without shedding;before operation,the SAS and SDS scores of the two groups were lower than those at admission,and the observation group was lower than the control group(P<0.05).After intervention,the surgical awareness and HPLP-Ⅱscore of the observation group were higher than those of the control group(P<0.05).Conclusion The cognitive behavior intervention based on IMB model is beneficial to alleviate the preoperative mental state of patients with cholecystectomy,and improve the perioperative awareness and healthy behavior of patients.

关 键 词：腹腔镜下胆囊切除 基于信息-动机-行为模型 认知行为干预 围手术期 

分 类 号：R657.4[医药卫生—外科学]