基于IMB模型的预见性干预在老年肺癌患者电磁导航支气管镜活检术后的应用  

Application of Predictive Intervention Based on IMB Skills Model in Elderly Lung Cancer Patients After Electromagnetic Navigation Bronchoscope Biopsy

作　　者：张晶[1] 张阿丽[1] 李雅娟 ZHANG Jing;ZHANG ALi;LI Yajuan(The Ward 1 Department of Oncology,the Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450008,China)

机构地区：[1]河南中医药大学第三附属医院肿瘤科一病区,河南郑州450008

出　　处：《河南医学研究》2025年第4期750-753,共4页Henan Medical Research

摘　　要：目的探讨基于信息-动机-行为技能(IMB)模型的预见性干预在老年肺癌患者电磁导航支气管镜(ENB)活检术后的应用。方法选取2021年9月至2023年3月河南中医药大学第三附属医院收治的84例老年肺癌患者为研究对象,随机分为对照组和观察组,每组42例。观察组接受基于IMB模型的预见性干预,对照组接受常规护理。比较两组患者的术后并发症发生率、生活质量、焦虑抑郁水平和自我效能感。结果观察组患者的术后并发症发生率低于对照组(P<0.05)。观察组患者的生活质量评分为(86.12±8.35)分,高于对照组的(76.24±9.42)分(P<0.05)。观察组患者的焦虑评分为(7.14±2.36)分,抑郁评分为(6.81±2.21)分,均低于对照组的(10.29±3.12)分和(9.86±2.98)分(P<0.05)。观察组患者的自我效能感评分为(32.67±4.28)分,高于对照组的(27.38±5.13)分(P<0.05)。结论基于IMB模型的预见性干预可有效降低老年肺癌电磁导航支气管镜活检术后患者的并发症发生率,提高生活质量,缓解焦虑抑郁情绪,增强自我效能感。Objective To explore the application of predictive intervention based on information-motivation-behavioral skills(IMB)model in elderly lung cancer patients after electromagnetic navigation bronchoscope(ENB)biopsy.Methods Eighty-four elderly patients with lung cancer admitted to the Third Affiliated Hospital of Henan University of Chinese Medicine from September 2021 to March 2023 were selected as the study subjects and randomly divided into control group and observation group,with 42 cases in each group.The observation group received prospective intervention based on IMB model,while the control group received routine care.The incidence of postoperative complications,quality of life,anxiety and depression level and self-efficacy of the two groups were compared.Results The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).The quality of life score of the observation group was(86.12±8.35)points,higher than that of the control group(76.24±9.42)points(P<0.05).The anxiety score of the observation group was(7.14±2.36)points,and the depression score was(6.81±2.21)points,both lower than those of the control group(10.29±3.12)points and(9.86±2.98)points(P<0.05).The self-efficacy score of the observation group was(32.67±4.28)points,higher than that of the control group(27.38±5.13)points(P<0.05).Conclusion Proactive intervention based on the IMB model can effectively reduce the incidence of complications in elderly lung cancer patients after ENB biopsy,improve their quality of life,alleviate anxiety and depression,and enhance self-efficacy.

关 键 词：肺癌 老年 电磁导航支气管镜活检术 并发症 预见性干预 IMB模型 

分 类 号：R734.2[医药卫生—肿瘤]