基于信息-动机-行为模型的护理干预对原发性肝癌患者自我效能及生活质量的影响

Effects of nursing intervention based on Information-motivation-behavior model on self-efficacy and quality of life of patients with primary liver cancer

目的探讨基于信息-动机-行为模型的护理干预对原发性肝癌患者自我效能及生活质量的影响.方法采用方便抽样法选取2016年1—12月在暨南大学附属第一医院住院治疗的原发性肝癌患者84例,按照入院时间分为对照组40例和观察组44例.对照组患者接受常规护理,观察组患者接受基于信息-动机-行为模型的护理干预.干预前后采用中文版癌症自我管理效能感量表（C-SUPPH）和肝癌患者生活质量评价量表（QOL-LC）对两组患者的自我效能感和生活质量进行调查,评价干预效果.结果出院当天,观察组患者C-SUPPH量表和QOL-LC量表得分（87.18±14.83）、（105.01±18.56）分,对照组（78.65±15.75）、（94.75±18.15）分,两组比较差异有统计学意义（t值分别为-2.557、-2.068;P〈0.05）.出院后1个月,观察组患者C-SUPPH量表和QOL-LC量表得分（92.34±16.04）、（123.11±20.86）分,对照组（80.50±15.86）、（101.90±19.95）分,两组比较差异有统计学意义（t值分别为-3.397、-4.753;P〈0.05）.结论基于信息-动机-行为模型的护理干预,可以提高肝癌患者的自我效能感和生活质量,值得临床推广.

Objective To explore the effects of nursing intervention based on Information-motivation-behavioral model （IMB） on self-efficacy and quality of life of patients with primary liver cancer. Methods A total of 84 patients with primary liver cancer who were hospitalized in the First Affiliated Hospital of Ji＇nan University from January to December in 2016 were selected by convenience sampling method and divided into control group （40 cases） and observation group （44 cases） according to the time of admission. The patients in the control group received routine care, while the patients in the observation group received nursing intervention based on IMB. Chinese Strategies Used by People to Promote Health （C-SUPPH） and Quality of Life-Liver Cancer （QOL-LC） were applied to investigate patients＇ self-efficacy and quality of life before and after intervention, so as to evaluate the effects of intervention. Results The C-SUPPH and QOL-LC scores of the observation group and the control group were （87.18±14.83）, （105.01±18.56） and （78.65±15.75）,（94.75±18.15） respectively on the day of discharge, and the differencs were statistically significant （t=-2.557,-2.068; P〈 0.05）. The C-SUPPH and QOL-LC scores of the observation group and the control group were （92.34±16.04）, （123.11±20.86） and （80.50±15.86）, （101.90±19.95） respectively 1 month after discharge, and the differences were statistically significant （t=-3.397,-4.753; P〈 0.05）. Conclusions Nursing intervention based on IMB can improve the self-efficacy and quality of life of patients with primary liver cancer, which is worthy of clinical promotion.