基于IMB模型延伸服务对颅脑外伤患者日常生活能力及生活质量等影响研究

Effect of extended service based on IMB model on daily living ability,medication compliance and quality of life in patients with traumatic brain injury

目的 分析基于信息-动机-行为技巧(IMB)模型延伸服务在颅脑外伤患者中的应用意义。方法 采用随机数字表法,将本院2017年1月至2018年12月收治的92例颅脑外伤患者分为观察组(47例)和对照组(45例),对照组患者在出院时给予常规健康教育,观察组患者在对照组基础上给予基于IMB模型延伸服务,分析干预后患者日常生活能力、服药依从性及生活质量等指标的组间差异。结果 干预后,观察组运动功能Fugl-Meyer评定量表(FMA)和日常生活能力Barthel指数(BI)评分均高于对照组(P<0.05);服药依从性为完全依从患者比例及总依从率高于对照组(P<0.05),不依从率低于对照组(P<0.05);生理机能、生理职能、躯体疾病、一般健康状况、精力、社会功能、情感职能、精神健康等健康调查简表(SF-36)条目评分均高于对照组(P<0.05)。结论 基于IMB模型延伸服务对颅脑外伤患者增强日常生活能力、提高服药依从性及改善生活质量均具有重要意义。

Objective To investigate the clinical effect of extended service based on information-motivation-behavioral skill(IMB)model in patients with traumatic brain injury(TBI).Methods From Jan.2017 to Dec.2018,92 patients with TBI,admitted in this hospital,were enrolled and randomly divided into observation group(47 cases)and control group(45 cases).The patients in control group were given regular health education at the time of discharge.The patients in observation group were given extension service based on IMB model on the basis of the control group.The daily living ability,medication compliance and quality of life of patients in the two groups were compared.Results After intervention,the Fugl-Meyer assessment(FMA)score and Barthel index(BI)score of observation group were higher than control group(P<0.05),the compliance rate and total compliance rate were higher than control group(P<0.05),the non-compliance rate was lower than control group(P<0.05),the MOS item short from health survey(SF-36)scores were higher than control group(P<0.05).Conclusion The extended service based on IMB model could be with great significance to enhance daily living ability,improve medication compliance and improve quality of life in patients with TBI.