互联网+信息-动机-行为技巧模型在鼻咽癌放疗患者全程照护中的应用  

Application of Internet+Information-Motivation-Behavioral Skills model in the whole-process care of patients undergoing radiotherapy for nasopharyngeal carcinoma

作　　者：郭明娟 王俊燕 杨丽[2] 张妍欣 GUO Mingjuan;WANG Junyan;YANG Li;ZHANG Yanxin(Guangxi Health Science College,Nanning 530023,Guangxi,China;The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西卫生职业技术学院,南宁市530023 [2]广西医科大学第一附属医院,南宁市530021

出　　处：《内科》2024年第6期619-626,共8页Internal Medicine

基　　金：广西高校中青年教师科研基础能力提升项目(2023KY1417)。

摘　　要：目的探讨互联网+信息-动机-行为技巧(IMB)模型在鼻咽癌放疗患者全程照护中的应用效果。方法选取100例鼻咽癌放疗患者作为研究对象,并随机将其分为对照组和观察组,每组50例;剔除失访者后,最终对照组纳入49例患者,观察组纳入48例患者。对照组接受常规护理干预,观察组在对照组的基础上接受基于互联网+IMB模型的全程照护干预,两组干预时间均为从医生开具住院证明开始至出院后6个月结束。比较两组放疗前、放疗30次时、出院后3个月、出院后6个月的自我护理能力和放疗毒副反应的严重程度。结果放疗前,两组患者自我护理能力量表(ESCAS)总分及其各维度得分,以及口干、鼻塞和张口困难的严重程度差异均无统计学意义(均P>0.05)。放疗30次时、出院后3个月、出院后6个月观察组的ESCAS总分及其各维度得分均高于对照组(均P<0.05);放疗30次时、出院后3个月、出院后6个月观察组口干、鼻塞的严重程度,以及出院后6个月观察组张口困难的严重程度均较对照组轻(均P<0.05)。结论采用互联网+IMB模型对鼻咽癌放疗患者进行全程照护干预,有利于提高患者的自我护理能力,减轻放疗毒副反应的严重程度。Objective To investigate the application effect of the Internet+Information-Motivation-Behavioral Skills(IMB)model in the whole-process care of patients undergoing radiotherapy for nasopharyngeal carcinoma.Methods A total of 100 patients undergoing radiotherapy for nasopharyngeal carcinoma were selected as the research subjects and randomly divided into a control group or an observation group,with 50 cases in each group;after excluding those who lost to follow-up,49 patients were included in the control group and 48 patients in the observation group in the end.The control group received a routine nursing intervention,based on which the observation group received Internet+IMB model-based whole-process care,and both groups were intervened from the time in which the doctor issued the hospitalization certificate to 6 months after discharge.The self-care ability and severity of toxic and side effects of radiotherapy before radiotherapy,after 30 radiotherapy treatments,3 months after discharge,and 6 months after discharge were compared between the two groups.Results Before radiotherapy,there was no statistically significant difference in each dimension score or the total score of the Exercise of Self-care Agency Scale(ESCAS),as well as the severity of dry mouth,nasal obstruction,or mouth opening difficulty,between the two groups(all P>0.05).Each dimension score and the total score of ESCAS in the observation group were higher than those in the control group after 30 radiotherapy treatments,3 months after discharge,and 6 months after discharge(all P<0.05);the severity of dry mouth and nasal obstruction in the observation group after 30 radiotherapy treatments,3 months after discharge,and 6 months after discharge,as well as the severity of mouth opening difficulty in the observation group 6 months after discharge,were milder than those in the control group(all P<0.05).Conclusion The application of the Internet+IMB model in the whole-process care of patients undergoing radiotherapy for nasopharyngeal carcinoma is conduciv

关 键 词：鼻咽癌 互联网 信息-动机-行为技巧模型 放疗 全程照护 

分 类 号：R473.73[医药卫生—护理学] R739.63[医药卫生—临床医学]