基于IMB模型的护理干预对肺癌术后康复的效果评价

Evaluation of the effect of nursing intervention based on IMB model on postoperative rehabilitation of lung cancer

目的探讨基于信息-动机-行为技巧(IMB)模型的护理干预对肺癌术后康复的效果。方法选取35例肺癌患者,随机分为对照组(17例)和观察组(18例)。对照组使用常规护理,观察组使用常规护理联合IMB模型的护理干预。比较2组患者术前及术后6h、12h、24h的疼痛视觉模拟评分法(VAS)评分;干预前后焦虑自评量评分;住院时间和护理满意度。结果观察组术后6h、12h和24h的VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。2组干预后焦虑自评量表评分均明显低于干预前,且观察组评分明显低于对照组,差异有统计学意义(P<0.05)。观察组住院时间明显短于对照组、护理满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论肺癌手术患者术后在常规护理的基础上联合IMB模型的护理干预,可显著改善疼痛程度、焦虑状态、住院时间及护理满意度,加速患者康复。

Objective To explore the effect of nursing intervention based on Information-Motivation-Behavioral skillmodel(IMB)on the rehabilitation of lung cancer patients after operation.Methods 35 patients with lung cancer were randomly divided into control group(17 cases)and observation group(18 cases).The control group was given routine nursing,while the observation group was given routine nursing combined with IMB model nursing intervention.Visual analogue scale(VAS)scores before,6 hours after,12 hours after and 24 hours after the intervention were compared between the two groups.Self-rating anxiety scores before and after the intervention were compared between the two groups.Hospitalization time and nursing satisfaction were compared between the two groups.Results After intervention,the VAS scores of the observation group at 6 h,12 h and 24h after operation were significantly lower than those of the control group(P<0.05).After intervention,the scores of SAS in both groups were significantly lower than those before intervention,and the scores in observation group were significantly lower than those in control group(P<0.05).The hospitalization time of the observation group was significantly shorter than that of the control group,and the nursing satisfaction of the observation group was significantly higher than that of the control group,with statistical significance(P<0.05).Conclusion On the basis of routine nursing,patients with lung cancer underwent intervention with IMB model.The degree of pain,anxiety,hospitalization time and nursing satisfaction of patients were significantly improved,and the rehabilitation of patients was accelerated.