基于IMB技巧模型应用于长期留置膀胱造瘘管患者的效果及对其自护能力和生活质量的影响

Effect of IMB Skill Model on Patients with Long-term Indwelling Cystostomy and Its Influence of Self-care Ability and Quality of Life

目的:探究长期留置膀胱造瘘管患者应用信息-动机-行为(IMB)技巧模型的效果。方法:选择2018年6-11月福建医科大学附属龙岩第一医院泌尿外科住院治疗的长期留置膀胱造瘘管患者60例作为研究对象。按照随机数字表法分为研究组(30例)和对照组(30例)。对照组采用常规瘘管管理,研究组在对照组基础上应用基于IMB技巧模型的管理模式。比较两组护理前后泌尿造口自我护理量表(UES)评分、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分及并发症发生率。结果:护理后,研究组UES评分和WHOQOL-BREF评分均高于对照组,差异有统计学意义(t=3.598、5.750,P<0.05)。研究组并发症发生率为6.67%,低于对照组的26.67%,差异有统计学意义(χ^(2)=4.320,P<0.05)。结论:基于IMB技巧模型的管理模式能够提高长期留置膀胱造瘘管患者的自我护理能力和生活质量,降低并发症发生率,值得临床推广应用。

Objective:To explore the effect of information-motivation-behavior (IMB) skill model in long-term indwelling cystostomy.Method:A total of 60 patients with long-term indwelling cystostomy who were hospitalized in urology department of Longyan First Hospital Affiliated to Fujian Medical University from June to November 2018 were selected as the study objects.They were divided into the study group (30 cases) and the control group (30 cases) according to the random number table method.Routine fistula nursing was used in the control group and IMB skill model on the basis of the control group was used in the study group.The urostomy education scale (UES) score,the world health organization quality of life-BREF (WHOQOL-BREF) score before and after nursing and the incidence of complications were compared in the two groups.Result:After intervention,the scores of UES and WHOQOL-BREF in the study group were significantly higher than those in the control group (t=3.598,5.750,P<0.05).The incidence of complications in the study group was 6.67%,which was lower than 26.67% in the control group (χ^(2)=4.320,P<0.05).Conclusion:Management mode based on IMB skill model can improve self-care ability and quality of life of patients with long-term indwelling cystostomy,reduce complications,which is worthy of clinical application.