基于信息-动机-行为技巧(IMB)模式的自我管理方案在PCI患者中的应用

Application of self-management plan based on information-motivation-behavioral skill (IMB) model for percutaneous coronary intervention patients

目的探讨基于信息-动机-行为技巧(IMB)模式的自我管理方案在PCI患者中的应用效果。方法采用便利抽样法,选取2018年11—12月在河南省人民医院阜外华中心血管医院心内科进行PCI治疗的患者为研究对象,随机分为对照组30例和试验组29例。对照组接受常规护理,试验组在此基础上实施基于IMB模式的自我管理方案,采用冠心病自我管理行为量表(CSMS)、一般自我效能感量表(GSES)、西雅图心绞痛量表(SAQ)比较干预的效果。结果干预后两组患者CSMS总分差异有统计学意义(P<0.05)。干预后两组患者GSES得分差异有统计学意义(P<0.05);干预后两组患者SAQ得分差异有统计学意义(P<0.05)。结论基于IMB模式的自我管理方案能够提高PCI患者自我效能,改善其自我管理行为和生活质量。

Objective To explore the application effect of self-management plan based on information-motivation-behavior skill (IMB) model in patients with percutaneous coronary intervention (PCI). Methods Using Convenience sampling method, patients undergoing PCI in the Department of Cardiology, Fuwai Central China cardiovascular Hospital, He'nan Provincial People's Hospital from November to December 2018 were selected as the research objects and randomly divided into the control group (n=30) and experimental group (n=29). The control group received routine nursing care, on the basis of that, the experimental group was implemented self-management plan based on IMB model. The intervention effects were compared by using the Coronary Heart Disease Self-management Behavior Scale (CSMS), General Self-efficacy Scale (GSES), Seattle Angina Questionnaire (SAQ). Results There were statistically significant differences in the total scores of CSMS between the two groups after intervention (P<0.05). There were statistically significant differences in GSES scores between the two groups after intervention (P<0.05);there were statistically significant differences in SAQ scores between the two groups after intervention (P<0.05). Conclusions The self-management plan based on IMB model can effectively improve the PCI patients' self-efficacy, and improve their self-management behaviors and quality of life.