信息-动机-行为技巧模式护理在慢性心力衰竭合并心律失常患者中的效果

Effects of information-motivation-behavioral skills model nursing in patients with chronic heart failure and arrhythmia

目的:观察信息-动机-行为技巧(IMB)模式护理在慢性心力衰竭合并心律失常患者中的效果。方法:选取120例慢性心力衰竭合并心律失常患者为研究对象,按照随机数字表法分为研究组与对照组各60例。对照组实行常规护理,研究组在对照组基础上给予IMB模式护理,比较两组护理前和护理3个月后中文版自我护理行为量表评分、健康促进生活方式量表Ⅱ(HPLPⅡ)评分和明尼苏达州心力衰竭生命质量问卷(MLHF-Q)评分。结果:护理后,两组中文版自我护理行为量表评分和HPLPⅡ各维度评分均高于护理前,且研究组明显高于对照组,差异有统计学意义(P<0.05);护理后,两组MLHF-Q评分均低于护理前,且研究组明显低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采取IMB模式护理可提高慢性心力衰竭合并心律失常患者中文版自我护理行为量表评分和HPLPⅡ评分,以及降低MLHF-Q评分,效果优于单纯常规护理。

Objective:To observe effects of information-motivation-behavioral skills model(IMB)nursing in patients with chronic heart failure and arrhythmia.Methods:120 patients with chronic heart failure and arrhythmia were selected as the research objects,and were divided into study group and control group according to the random number table method,60 cases in each group.The control group was given routine nursing,while the study group was given IMB model nursing on the basis of that of the control group.The Chinese version of the self-care behavior scale score,the health promoting lifestyle profile II(HPLP II)score and the Minnesota living with heart failure questionnaire(MLHF-Q)score were compared between the two groups before and 3 months after the nursing.Results:After the nursing,the scores of the Chinese version of the self-care behavior scale and HPLP II dimensions of the two groups were higher than those before the nursing;those of the study group were significantly higher than those of the control group;and the differences were statistically significant(P<0.05).Further,after the nursing,the MLHF-Q scores of the two groups were lower than before nursing;that of the study group was significantly lower than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of routine nursing,the IMB model nursing can improve the Chinese version of the self-care behavior scale score and the HPLP II score of the patients with chronic heart failure and arrhythmia,and reduce the MLHF-Q score.Moreover,it is superior to single routine nursing.