基于信息-动机-行为技巧模型的干预对卵巢癌术后患者胃肠功能恢复、自护能力的影响  

Effects of intervention based on information-motivation-behavioral skills model on gastrointestinal function recovery and self-care ability of postoperative patients with ovarian cancer

作　　者：张兰兰 张品 刘云鹤 周苗苗 ZHANG Lanlan;ZHANG Pin;LIU Yunhe;ZHOU Miaomiao(Third Ward,Department of Gynecology,He’nan Cancer Hospital,Zhengzhou 450003,He’nan,China)

机构地区：[1]河南省肿瘤医院妇科三病区,郑州450003

出　　处：《癌症进展》2025年第7期799-803,共5页Oncology Progress

摘　　要：目的分析基于信息-动机-行为技巧(IMB)模型的干预对卵巢癌术后患者胃肠功能恢复、自护能力的影响。方法将92例卵巢癌术后患者按照随机数字表法分为IMB组(n=46)、对照组(n=46)。对照组接受常规干预,IMB组在常规干预的基础上接受基于IMB模型的干预,两组均干预至术后1个月。比较两组患者胃肠功能恢复及康复情况、自护能力[自护能力测定量表(ESCA)]、应对方式[癌症应对问卷(CCMQ)]、生活质量[卵巢癌患者生命质量测定量表(FACT-O)]及干预期间并发症发生情况。结果IMB组患者肠鸣音恢复时间、首次排气时间、首次排便时间、术后下床活动时间以及住院时间均短于对照组,差异均有统计学意义(P﹤0.05)。干预1个月后,两组患者自我概念、自我责任感、自我护理技能、健康知识水平评分均升高,且IMB组患者自我概念、自我责任感、自我护理技能、健康知识水平评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预1个月后,两组患者面对评分均升高,回避、屈服、幻想、发泄评分均降低,且IMB组患者面对评分高于对照组,回避、屈服、幻想、发泄评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预1个月后,两组患者生理状况、情感状况、社会家庭状况、功能状况、附加关注评分均升高,且IMB组患者生理状况、情感状况、社会家庭状况、功能状况、附加关注评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论基于IMB模型的干预可促进卵巢癌术后患者胃肠功能的恢复及康复,提高患者自护能力,改善应对方式、生活质量,降低并发症发生率。Objective To analyze the effects of intervention based on information-motivation-behavioral(IMB)skills model on gastrointestinal function recovery and self-care ability of postoperative patients with ovarian cancer.Method A total of 92 postoperative patients with ovarian cancer were divided into IMB group(n=46)and control group(n=46)by random number table method.The control group received routine intervention,and the IMB group received intervention based on IMB model on the basis of routine intervention.Both groups were intervened until 1 month after surgery.The recovery of gastrointestinal function and rehabilitation,self-care ability[exercise of self-care agency(ESCA)],coping style[cancer coping modes questionnaire(CCMQ)],quality of life[functional assessment of cancer therapy-ovary cancer(FACT-O)]and complications during the intervention were compared between the two groups.Result The recovery time of bowel sounds,the time of first exhaust,the time of first defecation,the time of getting out of bed after operation and the time of hospital stay in IMB group were shorter than those in control group,and the differences were statistically significant(P<0.05).After 1 month of intervention,the self-concept,self-responsibility,self-care skills and health knowledge scores of the two groups increased,and the self-concept,self-responsibility,self-care skills and health knowledge scores of the IMB group were higher than those of the control group,and the differences were statistically significant(P<0.05).After 1 month of intervention,the confrontation scores of the two groups increased,and the avoidance,yield,fantasy and vent scores decreased,and the confrontation score of the IMB group was higher than that of the control group,and the avoidance,yield,fantasy and vent scores were lower than those of the control group,and the differences were statistically significant(P<0.05).After 1 month of intervention,the scores of physiological status,emotional status,social and family status,functional status and additional attentio

关 键 词：卵巢癌 手术 信息-动机-行为技巧模型 胃肠功能恢复 自护能力 应对方式 生活质量 并发症 

分 类 号：R737.31[医药卫生—肿瘤]