基于信息-动机-行为技巧模型的护理干预 在宫颈癌术后尿潴留的效果分析

Effect analysis of nursing intervention based on information-motivation-behavior skill model in patients with urinary retention after cervical cancer operation

目的探讨基于信息-动机-行为技巧(IMB)模型的护理干预在宫颈癌术后尿潴留患者的应用效果。方法选取2017年6月~2019年6月在我院住院治疗的98例宫颈癌术后患者,根据随机数字表法分为对照组和干预组,每组各49例。对照组采用常规护理干预,干预组采用IMB护理干预。观察两组的残余尿量、护理后总有效率、尿路感染发生情况和护理满意度评分。结果干预组残余尿量少于对照组[(75.51±14.61 vs.131.07±31.29)ml](P<0.05);干预组护理后总有效率高于对照组(95.92%vs.79.59%)(P<0.05);干预组的尿路感染发生率低于对照组(8.16%vs.30.61%)(P<0.05);干预组对护理行为规范性、护士解决问题能力和护士健康宣教能力的满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论基于IMB模型对宫颈癌术后留置尿管患者进行护理干预,可显著减少残余尿量,提高护理后总有效率,降低尿路感染发生风险,护理服务的满意度也显著提高,值得临床推广。

Objective To explore the application effect of nursing intervention based on information-motivation-behavioral skill(IMB)model in patients with urinary retention after cervical cancer surgery.Methods From June 2017 to June 2019,98 patients with cervical cancer who were hospitalized in our hospital were selected and divided into control group(n=49)and intervention group(n=49)according to random number table method.Routine nursing intervention was used in the control group and IMB nursing intervention was used in the intervention group.The residual urine volume,total nursing efficacy,incidence of urinary tract infection and nursing satisfaction score of the two groups were observed.Results The residual urine volume in the intervention group was less than that in the control group([75.51±14.61 vs.131.07±31.29]ml)(P<0.05);the nursing efficacy rate in the intervention group was higher than that in the control group(95.92%vs.79.59%)(P<0.05);the total incidence of urinary tract infection in the intervention group was lower than that in the control group(8.16%vs.30.61%)(P<0.05);and scores of standardization of nursing behavior,problem-solving ability and health education ability of nurses in the intervention group were higher than those of control group,the differences were statistically significant(P<0.05).Conclusion Nursing intervention based on IMB model for patients discharged from hospital with urinary retention tube after cervical cancer surgery can significantly reduce residual urine volume,improve treatment efficiency,reduce the risk of urinary tract infection,and improve the satisfaction of nursing service,which is worthy of clinical promotion.