基于IMCHB的护理模式在前列腺癌放疗患者自我效能及负性情绪中的应用

Application of IMCHB based nursing model in self-efficacy and negative emotion of prostate cancer radiotherapy patients

目的:研究基于健康行为互动模式(IMCHB)的护理模式对前列腺癌患者自我效能及负性情绪的影响。方法:取我院2021年1月1日~2023年1月31日临床收治的70例接受前列腺癌放疗患者作为研究对象按照随机抽签法分为对照组(n=35)、观察组(n=35),对照组给予常规护理,观察组在对照组基础上给予基于IMCHB的护理模式,统计对比两组的并发症发生情况、遵医行为(FCS)及入院当天、出院前1 d的负性情绪[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]、自我管理效能[一般自我效能感量表(GSES)]、生活质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]。结果:观察组放射性直肠炎、放射性膀胱炎等不良反应的发生率低于对照组,差异有统计学意义(P<0.05);遵医行为总依从率97.15%高于对照组85.71%,差异有统计学意义(P<0.05);出院前1 d,观察组的HAMD、HAMA评分低于对照组,GSES,WHOQOL-BREF评分高于对照组,差异有统计学意义(P<0.05)。结论:IMCHB护理模式应用于前列腺癌放疗患者,可提高自我管理效能,缓解负性情绪。

Objective:To study the impact of the nursing model based on the interactive model of health behavior(IMCHB)on the self-efficacy and negative emotions of prostate cancer patients.Methods:70 cases clinically admitted to our hospital from Jan¬uary 1,2021 to January 31,2023 Patients who received radiotherapy for prostate cancer were taken as research subjects and divided in¬to a control group(n=35)and an observation group(n=35)according to the random drawing method.The control group was given routine care,and the observation group was given a nursing model based on IMCHB on the basis of the control group.Compare the in¬cidence of complications between the two groups,and use the Frankl Compliance Scale(FCS)to compare the compliance behaviors of the two groups,negative emotions on the day of admission and 1 day before discharge were statistically compared between the two groups Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA),and self-management efficacy General Self-Efficacy Scale(GSES)and quality of life World Health Organization Quality of Life Scale Short Form(WHOQOL-BREF).Re¬sults:The incidence of radiation proctitis and radiation cystitis in observation group was lower than that in control group,the difference was statistically significant(P<0.05).The total compliance rate of medical compliance was 97.83%,which was higher than that of the control group,84.78%,and the difference was statistically significant(P<0.05);1 day before discharge,the HAMD and HAMA scores of the observation group were lower than those of the control group,GSES,and WHOQOL-BREF The score was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The IMCHB nursing model can improve self-management efficiency and alleviate negative emotions when applied to patients undergoing radiotherapy for prostate cancer.