基于IMB模型的健康教育结合针对性心理干预在肝硬化患者中的应用  

Application of health education based on IMB model combined with targeted psychological intervention in patients with liver cirrhosis

作　　者：辛海艳 董爱玲 XIN Haiyan;DONG Ailing(The Affiliated Hospital of Xuzhou Medical University,East Hospital,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院东院,江苏徐州221000

出　　处：《中西医结合护理(中英文)》2025年第2期121-124,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨基于信息—动机—行为(IMB)模型的健康教育结合针对性心理干预在肝硬化患者中的应用效果。方法以2023年1~6月徐州医科大学附属医院东院诊治的152例肝硬化患者作为研究对象,采用抽签法分为2组,对照组76例患者施以肝硬化常规护理措施,观察组76例患者则在对照组的基础上施以基于IMB模型的健康教育结合针对性心理干预。比较2组的自我护理能力、焦虑和抑郁情绪、用药依从性、并发症发生情况。结果干预4周及12周后,2组的自我护理技能、责任感、健康知识评分,以及Morisky用药依从性问卷评分均明显高于入院时,焦虑自评量表评分和抑郁自评量表评分均明显低于入院时(P均<0.05);相比于同期对照组,观察组的上述评分均明显更优(P均<0.05)。比较2组的并发症总发生率,结果为观察组更低(P<0.05)。结论基于IMB模型的健康教育结合针对性心理干预应用于肝硬化患者,可有效提高其自我护理能力和用药依从性,缓解负面情绪状态,并有助于预防并发症的发生。Objective To investigate the application effect of health education based on the information-motivation-behavioral skills(IMB)model combined with targeted psychological intervention in patients with liver cirrhosis.Methods A total of 152 liver cirrhosis patients treated at the Affiliated Hospital of Xuzhou Medical University,East Hospital from January to June 2023 were selected as the research subjects.They were randomly divided into two groups by drawing lots:76 patients in the control group received routine nursing measures for liver cirrhosis,and 76 patients in the observation group additionally received health education based on the IMB model combined with targeted psychological intervention.The self-care ability,anxiety,depression,medication adherence,and incidence of complications of two groups were compared.Results After 4 and 12 weeks of intervention,the scores of self-care skills,sense of responsibility,health knowledge,and Morisky Medication Adherence Scale of both groups were significantly higher than those at admission(P<0.05).The scores of the Self-Rating Anxiety Scale and the Self-Rating Depression Scale were significantly lower than those at admission(P<0.05).Compared with the corresponding control group,the above scores of the observation group were significantly better(P<0.05).The total incidence of complications was compared between the two groups,which revealed a lower rate in the observation group(P<0.05).Conclusion The combination of health education based on the IMB model and targeted psychological intervention for patients with liver cirrhosis can effectively improve their self-care ability and medication adherence,alleviate their negative emotions,and help prevent the occurrence of complications.

关 键 词：肝硬化 信息—动机—行为模型 健康教育 针对性心理干预 用药依从性 

分 类 号：R473.5[医药卫生—护理学]