IMB模型护理干预在膀胱癌根治术患者中的应用价值

Application value of information-motivation-behavioral skills model in nursing patients with radical resection of bladder cancer

目的:探讨基于信息-动机-行为技巧(IMB)模型的护理干预对膀胱癌(BC)根治术患者术后负性情绪、生活质量和康复情况的影响。方法:选取2017年6月~2019年6月在中国人民解放军联勤保障部队第901医院接受BC根治术的患者86例,分为对照组和研究组各43例,对照组接受常规护理,研究组接受IMB模型护理,比较两组患者术后负性情绪、生活质量和康复状况。结果:护理干预完成后,两组患者负性情绪评分均有所下降(P<0.05),相比于对照组,研究组负性情绪评分降低更为明显(P<0.05);在生活质量各维度评分上,两组患者均有所提高(P<0.05),相比于对照组,研究组评分升高更为明显(P<0.05);相比于对照组,研究组患者胃肠道功能恢复快,住院时间短,并发症发生率低(P<0.05)。结论:IMB模型护理干预能有效改善患者术后负性情绪,提高生活质量和加速术后康复。

Objective:To investigate the effect of information-motivation-behavior skills(IMB)model on postoperative negative emotion,quality of life and complications in patients undergoing radical resection of bladder cancer.Methods:Eighty-six patients undergone radical cystectomy in our hospital were included from June 2017 to June 2019,and divided into control group and study group(n=43 for each group).Patients in the control group received general nursing intervention,and those in the study group were provided with IMB nursing.The two groups were compared concerning incidence of postoperative negative emotions,quality of life,and recover state.Results:Scoring on negative emotion was decreased in both groups after nursing intervention(P<0.05),yet was dominant in the study group(P<0.05).The anxiety and depression scores were significantly lower in study group than in control group(P<0.05).Scoring on each component on quality of life was increased,and the increased was significant in study group(P<0.05).Additionally,patients in study group had earlier recovery of gastrointestinal function,shortened hospital stay and fewer incidence of complication(P<0.05).Conclusion:IMB nursing mode can effectively decrease negative emotions,improve quality of life and facilitate early recovery of gastrointestinal function in patients undergone radical cystectomy.