信息-动机-行为技巧模型对心力衰竭患者自我管理的影响

Influence of information-motivation-behavioral skills model on self-management of patients with heart failure

目的探讨信息-动机-行为技巧模型(IMB)对心力衰竭患者自我管理的影响。方法选取我院于2016年1月至2017年1月收治的100例心力衰竭患者作为研究对象,按照随机数字法等分为对照组和研究组,对照组予以常规护理干预,研究组予以IMB干预。比较两组患者干预前后自我管理各维度评分、生活质量各维度评分。结果干预前两组患者自我管理各维度评分比较差异无统计学意义(P>0.05),干预后两组自我管理各维度评分均显著升高,且研究组较对照组明显升高(P<0.05);干预前两组患者生活质量各维度评分比较差异无统计学意义(P>0.05),干预后两组生活质量各维度评分均显著降低,且研究组较对照组明显降低(P<0.05)。结论 IMB干预可显著提高心力衰竭患者自我管理能力,改善生活质量。

Objective To explore the influence of information-motivation-behavioral skills model（IMB） on self-management of patients with heart failure. Methods To select 100 cases of patients admitted with heart failure from January 2016 to January 2017 in our hospital. As the object of study,they were randomly divided into the control group and the study group according to random number table. The routine nursing intervention was given in the control group,IMB intervention was given in the study group. We contrasted the dimension scores of self-management and the dimension scores of living quality before and after intervention in patients of the two group. Results There was no statistically significant difference on the dimension scores of self-management before intervention in the two group（P 0. 05）,and there was significantly increased on the dimension scores of self-management after intervention,meanwhile,the study group was increased significantly than the control group（P 0. 05）. There was no statistically significant difference on the dimension scores of living quality before intervention in the two group（P 0. 05）,and there was significantly reduced on the dimension scores of living quality after intervention,meanwhile,the study group was reduced significantly than the control group（P 0. 05）. Conclusion The self-management ability of patients with heart failure was significantly increased after IMB intervention,and the quality of life was also improved.